Indiana
Professional Licensing Agency
Kerry Dean Bennett
Controlled Substance Registration-Osteopathic Physician
License number
02001168B
Date granted
08/15/1990
Date expires
06/30/1995
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
R R #1 ANGLING ROAD, FARMLAND IN 47340
indianalicensing.org
ID 5799969
LAST UPDATED 2024-03-18 10:36:24 UTC
LAST UPDATED 2024-03-18 10:36:24 UTC
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