BENEDICT A BIASINI
Controlled Substance Registration - Physician
Indiana 01015170B Expired
This Indiana license was held by BENEDICT A BIASINI. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01015170B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1986 (over 40 years ago)
- Expiry Date: 06/30/2003 (about 23 years ago)
LOCATIONS
A Address
19585 GLENDALE AVENUE, SOUTH BEND IN 46637