Indiana
Professional Licensing Agency
Brendan Michael Banyon
Controlled Substance Registration - Physician
License number
01072458B
Date granted
04/17/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Franciscan St. Anthony Health, 713 Killarney Drive, Imaging Assoc., Dyer IN 46311
indianalicensing.org
ID 5844124
LAST UPDATED 2024-04-11 08:43:24 UTC
LAST UPDATED 2024-04-11 08:43:24 UTC
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