Wilber Clarence Boren, Jr.
Controlled Substance Registration - Dentist
Indiana 12006376B Expired
This Indiana license was held by Wilber Clarence Boren, Jr.. The license is no longer active. It was granted on 04/30/1986 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12006376B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/30/1986 (about 39 years ago)
- Expiry Date: 03/01/2014 (about 11 years ago)
LOCATIONS
A Address
21045 Riverbrook Lane, Bristol IN 46507