License holder summary

Angela Miller Bennett is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Angela Miller Bennett is Portage Health Center, 6375 US Hwy 6, Portage IN 46368. This licensed professional license is not current. The license was granted 02/12/2003 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Angela Miller Bennett
Controlled Substance Registration - Physician
License number
01057217B
Date granted
02/12/2003
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Portage Health Center, 6375 US Hwy 6, Portage IN 46368
indianalicensing.org
ID 5910910
LAST UPDATED 2024-04-10 00:28:25 UTC

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