Indiana
Professional Licensing Agency
Eric J Bennett
Controlled Substance Registration - Physician
License number
01027728B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4519 PARK LANE COURT, TERRE HAUTE IN 47805
indianalicensing.org
ID 5925134
LAST UPDATED 2024-03-16 08:15:33 UTC
LAST UPDATED 2024-03-16 08:15:33 UTC
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