Indiana
Professional Licensing Agency
Joel S. Benveniste
Controlled Substance Registration - Physician
License number
01057118B
Date granted
02/25/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Anthony Memorial, 301 W. Homer Avenue, Michigan City IN 46360
indianalicensing.org
ID 5892807
LAST UPDATED 2024-04-17 17:18:49 UTC
LAST UPDATED 2024-04-17 17:18:49 UTC
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