License holder summary

LEWIS D BENJAMIN is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for LEWIS D BENJAMIN is 705 FAIRWAY DRIVE, INDIANAPOLIS IN 46260. This licensed professional license is not current. The license was granted 11/30/1986 and expired on 03/01/1990.

Indiana

Professional Licensing Agency

LEWIS D BENJAMIN
Controlled Substance Registration - Dentist
License number
12005288B
Date granted
11/30/1986
Date expires
03/01/1990
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
705 FAIRWAY DRIVE, INDIANAPOLIS IN 46260
indianalicensing.org
ID 5103437
LAST UPDATED 2024-03-04 11:11:04 UTC

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