Indiana
Professional Licensing Agency
Myla Nicole Bennett
Controlled Substance Registration - Physician
License number
01070339B
Date granted
10/18/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Reid Physician Associates, 1100 Reid Parkway, Richmond IN 47374
indianalicensing.org
ID 5913892
LAST UPDATED 2024-01-29 18:29:51 UTC
LAST UPDATED 2024-01-29 18:29:51 UTC
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