BRIAN THOMAS BENNETT

Controlled Substance Registration - Physician

Indiana  01049224B   Expired

This Indiana license was held by BRIAN THOMAS BENNETT. The license is no longer active. It was granted on 01/22/1999 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01049224B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 01/22/1999 (over 26 years ago)
  • Expiry Date: 06/30/2001 (almost 24 years ago)

LOCATIONS

A Address

FAMILY PRACTICE CNTR, 1513 N 6 1/2 ST, TERRE HAUTE IN 47807