Indiana
Professional Licensing Agency
Edgar McClarren Benjamin
Controlled Substance Registration - Dentist
License number
12004989B
Date granted
04/30/1986
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
17 East Main St., Worthington IN 47471
indianalicensing.org
ID 5128679
LAST UPDATED 2024-03-15 11:03:52 UTC
LAST UPDATED 2024-03-15 11:03:52 UTC
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