License holder summary

Bruce Philip Benifiel is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Bruce Philip Benifiel is 925 University Drive East, Granger IN 46530. This licensed professional license is current. The license was granted 07/16/1987 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Bruce Philip Benifiel
Controlled Substance Registration - Dentist
License number
12008886B
Date granted
07/16/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
925 University Drive East, Granger IN 46530
indianalicensing.org
ID 5098318
LAST UPDATED 2024-03-23 06:22:15 UTC

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