License holder summary

BENJAMIN JACOB FISHER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for BENJAMIN JACOB FISHER is 6221 N KEYSTONE #3, INDIANAPOLIS IN 46220. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 03/01/1990.

Indiana

Professional Licensing Agency

BENJAMIN JACOB FISHER
Controlled Substance Registration - Dentist
License number
12004140B
Date granted
10/31/1986
Date expires
03/01/1990
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
6221 N KEYSTONE #3, INDIANAPOLIS IN 46220
indianalicensing.org
ID 5101583
LAST UPDATED 2024-02-01 19:00:57 UTC

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