Indiana
Professional Licensing Agency
John Brent Benton
Controlled Substance Registration - Physician
License number
01058008B
Date granted
09/02/2003
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2315 Green Valley Rd.,Suite 100, New Albany IN 47150
indianalicensing.org
ID 5902855
LAST UPDATED 2024-04-17 17:18:39 UTC
LAST UPDATED 2024-04-17 17:18:39 UTC
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