Indiana
Professional Licensing Agency
Sam Benjamin
Physician
License number
01065229A
Date granted
05/02/2008
Date expires
06/30/2009
Class
Physician
Status
Expired Non-Renewable
Address
Syracuse NY 13202
indianalicensing.org
ID 6103563
LAST UPDATED 2026-04-07 21:47:56 UTC
LAST UPDATED 2026-04-07 21:47:56 UTC
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