Boniface Mwamba Kawimbe

Controlled Substance Registration - Physician

Indiana  01064522B   Expired

This Indiana license was held by Boniface Mwamba Kawimbe. The license is no longer active. It was granted on 12/27/2007 and expired on 06/30/2009

LICENSE DETAILS

  • License Number: 01064522B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 12/27/2007 (over 18 years ago)
  • Expiry Date: 06/30/2009 (almost 17 years ago)

LOCATIONS

A Address

Jay County Hospital, 500 West Votam Street, Portland IN 47371