Marc A Booth
Controlled Substance Registration - Physician
Indiana 01061093C Active
This Indiana license is held by Marc A Booth. The license is currently active. It was granted on 07/12/2012 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01061093C
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/12/2012 (almost 13 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Mattingly Center For Sight, 1410 Union Street, Lafayette IN 47904
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