Indiana
Professional Licensing Agency
WILLIAM JACOB BORMAN
Controlled Substance Registration - Dentist
License number
12004390B
Date granted
04/30/1986
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
6214 MORENCI TRAIL # 106, INDIANAPOLIS IN 46268
indianalicensing.org
ID 5104902
LAST UPDATED 2026-05-12 03:54:27 UTC
LAST UPDATED 2026-05-12 03:54:27 UTC
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