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 The license is no longer active.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