LAWRENCE EDWARD BENHAM
Controlled Substance Registration - Physician
Indiana 01015701B Expired
This Indiana license was held by LAWRENCE EDWARD BENHAM. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01015701B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1986 (about 39 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
2424 Q STREET, BEDFORD IN 47421