License holder summary

Larry William Banyash is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Larry William Banyash is 330 Bercado Circle Suite 36, Mishawaka IN 46544. This licensed professional license is current. The license was granted 06/18/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Larry William Banyash
Controlled Substance Registration - Physician
License number
01029868B
Date granted
06/18/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
330 Bercado Circle Suite 36, Mishawaka IN 46544
indianalicensing.org
ID 5895393
LAST UPDATED 2024-04-29 13:19:31 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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