License holder summary

BENEDICT A BIASINI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BENEDICT A BIASINI is 19585 GLENDALE AVENUE, SOUTH BEND IN 46637. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

BENEDICT A BIASINI
Controlled Substance Registration - Physician
License number
01015170B
Date granted
04/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
19585 GLENDALE AVENUE, SOUTH BEND IN 46637
indianalicensing.org
ID 5920474
LAST UPDATED 2024-04-14 12:39:16 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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