Bogun Lee

Controlled Substance Registration - Dentist

Indiana  12011478B   Active

This Indiana license is held by Bogun Lee. The license is currently active. It was granted on 06/17/2010 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12011478B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 06/17/2010 (almost 14 years ago)
  • Expiry Date: 03/01/2016 (over 8 years ago)

LOCATIONS

A Address

Merrillville Family Dental, 8079 Madison Street, Merrillville IN 46410