Indiana
Professional Licensing Agency
Benjamin David Tanner
Controlled Substance Registration - Physician
License number
01065745B
Date granted
09/22/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
395 Westfield Road, Noblesville IN 46060
indianalicensing.org
ID 5906649
LAST UPDATED 2024-02-22 07:44:19 UTC
LAST UPDATED 2024-02-22 07:44:19 UTC
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