Indiana
Professional Licensing Agency
Juan Benitez
Controlled Substance Registration - Physician
License number
01040903B
Date granted
12/10/1992
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
THE MEDICAL GROUP OF MICHIGAN CITY P C, 1225 E COOLSPRING AVE, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892923
LAST UPDATED 2024-02-03 02:21:02 UTC
LAST UPDATED 2024-02-03 02:21:02 UTC
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