Indiana
Professional Licensing Agency
JORGE BENAVENTE OD PC
Optometry Board - Optometry Corporation
License number
56000082A
Date granted
07/08/1981
Date expires
12/31/1985
Class
Optometry Board - Optometry Corporation
Status
Expired
Address
1905 SOUTHLAKE MALL, MERRILLVILLE IN 46410
indianalicensing.org
ID 24874500
LAST UPDATED 2024-04-17 22:50:36 UTC
LAST UPDATED 2024-04-17 22:50:36 UTC
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