J B BENNETT

Controlled Substance Registration - Physician

Indiana  01013973B   Expired

This Indiana license was held by J B BENNETT. The license is no longer active. It was granted on 10/17/1986 and expired on 06/30/2009

LICENSE DETAILS

  • License Number: 01013973B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/17/1986 (over 38 years ago)
  • Expiry Date: 06/30/2009 (almost 16 years ago)

LOCATIONS

A Address

JB Bennett, 407 N Main, Box 555, Warren IN 46792