Indiana
Professional Licensing Agency
David James Benson
Controlled Substance Registration - Dentist
License number
12010723B
Date granted
06/14/2005
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Affordable Care, 7810 West Jefferson Blvd., Fort Wayne IN 46804
indianalicensing.org
ID 5094449
LAST UPDATED 2024-05-10 21:52:45 UTC
LAST UPDATED 2024-05-10 21:52:45 UTC
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