Benjamin Lloyd Porter

Controlled Substance Registration - Dentist

Indiana  12011510C   Expired

This Indiana license was held by Benjamin Lloyd Porter. The license is no longer active. It was granted on 07/13/2010 and expired on 03/01/2014

LICENSE DETAILS

  • License Number: 12011510C
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 07/13/2010 (almost 14 years ago)
  • Expiry Date: 03/01/2014 (about 10 years ago)

LOCATIONS

A Address

LaPorte Community Health Clinic, 400 Teegarden Suite A, La Porte IN 46350