Indiana
Professional Licensing Agency
William Dale Boaz
Controlled Substance Registration - Physician
License number
01017672B
Date granted
04/30/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
219 T 13 Lane, Leesburg IN 46538
indianalicensing.org
ID 5884176
LAST UPDATED 2024-03-19 15:21:08 UTC
LAST UPDATED 2024-03-19 15:21:08 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.