Indiana
Professional Licensing Agency
LAWRENCE EDWARD BENHAM
Controlled Substance Registration - Physician
License number
01015701B
Date granted
04/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2424 Q STREET, BEDFORD IN 47421
indianalicensing.org
ID 5822337
LAST UPDATED 2024-02-26 02:31:03 UTC
LAST UPDATED 2024-02-26 02:31:03 UTC
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