IAN BOISKIN

Controlled Substance Registration - Physician

Indiana  01044458B   Expired

This Indiana license was held by IAN BOISKIN. The license is no longer active. It was granted on 10/26/1995 and expired on 06/30/1999

LICENSE DETAILS

  • License Number: 01044458B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/26/1995 (over 28 years ago)
  • Expiry Date: 06/30/1999 (almost 25 years ago)

LOCATIONS

A Address

702 NORTH MICHIGAN STREET, SOUTH BEND IN 46601