Indiana
Professional Licensing Agency
BENITA KRUZEL
Controlled Substance Registration - Physician
License number
01041484C
Date granted
02/16/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2101 JACKSON STREET #001, ANDERSON IN 46011
indianalicensing.org
ID 5816643
LAST UPDATED 2024-02-20 14:52:56 UTC
LAST UPDATED 2024-02-20 14:52:56 UTC
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