Dany Boulos

Controlled Substance Registration - Physician

Indiana  01068800B   Active

This Indiana license is held by Dany Boulos. The license is currently active. It was granted on 06/15/2011 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01068800B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/15/2011 (almost 14 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

1207 East National Ave., Brazil IN 47834