Angela Miller Bennett

Controlled Substance Registration - Physician

Indiana  01057217B   Expired

This Indiana license was held by Angela Miller Bennett. The license is no longer active. It was granted on 02/12/2003 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: 01057217B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 02/12/2003 (over 23 years ago)
  • Expiry Date: 06/30/2007 (almost 19 years ago)

LOCATIONS

A Address

Portage Health Center, 6375 US Hwy 6, Portage IN 46368