Indiana
Professional Licensing Agency
BRIAN THOMAS BENNETT
Medical Residency Permit
License number
11008237A
Date granted
07/01/1997
Date expires
06/30/1999
Class
Medical Residency Permit
Status
Expired
Address
TERRE HAUTE IN 47803
indianalicensing.org
ID 5997435
LAST UPDATED 2024-04-10 21:51:55 UTC
LAST UPDATED 2024-04-10 21:51:55 UTC
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