ROBERT CORNWALL BOLIN

Controlled Substance Registration - Physician

Indiana  01017016B   Expired

This Indiana license was held by ROBERT CORNWALL BOLIN. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/1995

LICENSE DETAILS

  • License Number: 01017016B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 04/30/1986 (over 40 years ago)
  • Expiry Date: 06/30/1995 (about 31 years ago)

LOCATIONS

A Address

2600 GREENBUSH STREET, LAFAYETTE IN 47904