LEWIS D BENJAMIN
Controlled Substance Registration - Dentist
Indiana 12005288B Expired
This Indiana license was held by LEWIS D BENJAMIN. The license is no longer active. It was granted on 11/30/1986 and expired on 03/01/1990
LICENSE DETAILS
- License Number: 12005288B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 11/30/1986 (over 38 years ago)
- Expiry Date: 03/01/1990 (about 35 years ago)
LOCATIONS
A Address
705 FAIRWAY DRIVE, INDIANAPOLIS IN 46260