Indiana
Professional Licensing Agency
FAY CAROL BENBROOK
Controlled Substance Registration - Physician
License number
01040790B
Date granted
07/22/1993
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT STATE HOSPITAL, ROUTE 2, LOGANSPORT IN 46947
indianalicensing.org
ID 5885028
LAST UPDATED 2026-05-28 20:55:37 UTC
LAST UPDATED 2026-05-28 20:55:37 UTC
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