G R BOUGHER MD INC

Medical Licensing Board - Medical Corporation

Indiana  50000627A   Expired

This Indiana license was held by G R BOUGHER MD INC. The license is no longer active. It was granted on 12/06/1972 and expired on 12/31/1981

LICENSE DETAILS

  • License Number: 50000627A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 12/06/1972 (over 52 years ago)
  • Expiry Date: 12/31/1981 (over 43 years ago)

LOCATIONS

A Address

3931 GATE ROAD, LAFAYETTE IN 47905