BENJAMIN JACOB FISHER

Controlled Substance Registration - Dentist

Indiana  12004140B   Expired

This Indiana license was held by BENJAMIN JACOB FISHER. The license is no longer active. It was granted on 10/31/1986 and expired on 03/01/1990

LICENSE DETAILS

  • License Number: 12004140B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 10/31/1986 (over 38 years ago)
  • Expiry Date: 03/01/1990 (about 35 years ago)

LOCATIONS

A Address

6221 N KEYSTONE #3, INDIANAPOLIS IN 46220