THOMAS W BENNETT
Controlled Substance Registration - Physician
Indiana 01029202B Expired
This Indiana license was held by THOMAS W BENNETT. The license is no longer active. It was granted on 07/31/1986 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01029202B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/31/1986 (almost 38 years ago)
- Expiry Date: 06/30/1991 (about 33 years ago)
LOCATIONS
A Address
3030 LAKE AVE #26, FORT WAYNE IN 46805