License holder summary

Benjamin Douglas Bennett is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Benjamin Douglas Bennett is 2315 WEST JEFFERSON STREET, KOKOMO IN 46901. This licensed professional license is not current. The license was granted 09/08/1987 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Benjamin Douglas Bennett
Controlled Substance Registration - Physician
License number
01025072B
Date granted
09/08/1987
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2315 WEST JEFFERSON STREET, KOKOMO IN 46901
indianalicensing.org
ID 5875666
LAST UPDATED 2024-03-20 03:47:16 UTC

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