License holder summary

TARA LORENCE VAN BENNEKOM is a Osteopathic Physician licensed to practice in Indiana. The address on file for TARA LORENCE VAN BENNEKOM is ORANGE PARK FL 32073. This licensed professional license is not current. The license was granted 01/26/1995 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

TARA LORENCE VAN BENNEKOM
Osteopathic Physician
License number
02001619A
Date granted
01/26/1995
Date expires
06/30/2003
Class
Osteopathic Physician
Status
Expired Non-Renewable
Address
ORANGE PARK FL 32073
indianalicensing.org
ID 6017598
LAST UPDATED 2024-03-19 10:07:26 UTC

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

Reviews

Are you familiar with TARA LORENCE VAN BENNEKOM's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending