License holder summary

Benjamin Travis Dastrup is a Medical Residency Permit licensed to practice in Indiana. The address on file for Benjamin Travis Dastrup is Brownsburg IN 46112. This licensed professional license is not current. The license was granted 05/17/2005 and expired on 06/30/2006.

Indiana

Professional Licensing Agency

Benjamin Travis Dastrup
Medical Residency Permit
License number
11012561A
Date granted
05/17/2005
Date expires
06/30/2006
Class
Medical Residency Permit
Status
Superceded
Address
Brownsburg IN 46112
indianalicensing.org
ID 5969973
LAST UPDATED 2024-02-23 11:55:11 UTC

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