Benjamin H Bak
Controlled Substance Registration - Physician
Indiana 01059230B Expired
This Indiana license was held by Benjamin H Bak. The license is no longer active. It was granted on 06/03/2004 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01059230B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/03/2004 (almost 21 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
5363 Commerce Blvd., Schererville IN 46375