Indiana
Professional Licensing Agency
BENJAMIN CARLOS GUZMAN
Controlled Substance Registration - Physician
License number
01040826B
Date granted
08/26/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GRAND PARK SURGI CENTER, 1479 E 84TH PLACE, MERRILLVILLE IN 46410
indianalicensing.org
ID 5889922
LAST UPDATED 2024-05-03 13:56:45 UTC
LAST UPDATED 2024-05-03 13:56:45 UTC
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