Marc A Booth
Controlled Substance Registration - Physician
Indiana 01061093B Expired
This Indiana license was held by Marc A Booth. The license is no longer active. It was granted on 08/03/2005 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01061093B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/03/2005 (almost 20 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
Lafayette Eye Center, 3746 Rome Drive, Lafayette IN 47903