Indiana
Professional Licensing Agency
Dawn Julius Benson
Controlled Substance Registration - Dentist
License number
12009930B
Date granted
07/21/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7609 Covington Hollow Pass, Fort Wayne IN 46804
indianalicensing.org
ID 5094522
LAST UPDATED 2024-02-09 22:19:00 UTC
LAST UPDATED 2024-02-09 22:19:00 UTC
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