Indiana
Professional Licensing Agency
Benjamin Chiu
Controlled Substance Registration - Physician
License number
01048769B
Date granted
06/25/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Kokomo Surgical Group LLC, 2000 W Boulevard, Kokomo IN 46902
indianalicensing.org
ID 5875663
LAST UPDATED 2024-03-07 01:40:41 UTC
LAST UPDATED 2024-03-07 01:40:41 UTC
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