License holder summary

GARY TAGUIAM BENITEZ is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GARY TAGUIAM BENITEZ is H THEO TATEM FAMILY HEALTH CENTER, 1619 W 5TH AVE, GARY IN 46404. This licensed professional license is not current. The license was granted 03/25/1993 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

GARY TAGUIAM BENITEZ
Controlled Substance Registration - Physician
License number
01041173B
Date granted
03/25/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
H THEO TATEM FAMILY HEALTH CENTER, 1619 W 5TH AVE, GARY IN 46404
indianalicensing.org
ID 5856606
LAST UPDATED 2024-05-10 12:37:33 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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