Indiana
Professional Licensing Agency
Benny Fair, Jr.
Controlled Substance Registration - Podiatrist
License number
07000728B
Date granted
02/06/1992
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
2700 South Lafayette St. Suite 120, Fort Wayne IN 46806
indianalicensing.org
ID 8430403
LAST UPDATED 2024-03-30 14:01:17 UTC
LAST UPDATED 2024-03-30 14:01:17 UTC
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