Indiana
Professional Licensing Agency
Benjamin E. Imperial
Controlled Substance Registration - Physician
License number
01021654B
Date granted
06/30/1985
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
9521 INDIANAPOLIS BLVD UNIT I, HIGHLAND IN 46322
indianalicensing.org
ID 5866392
LAST UPDATED 2024-03-31 23:15:52 UTC
LAST UPDATED 2024-03-31 23:15:52 UTC
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