WILLIAM JACOB BORMAN
Controlled Substance Registration - Dentist
Indiana 12004390B Expired
This Indiana license was held by WILLIAM JACOB BORMAN. The license is no longer active. It was granted on 04/30/1986 and expired on 03/01/1996
LICENSE DETAILS
- License Number: 12004390B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/30/1986 (about 39 years ago)
- Expiry Date: 03/01/1996 (about 29 years ago)
LOCATIONS
A Address
6214 MORENCI TRAIL # 106, INDIANAPOLIS IN 46268