Indiana
Professional Licensing Agency
Thomas O Bennett
Controlled Substance Registration - Physician
License number
01030607C
Date granted
07/21/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Retina Associates, 8679 CONNECTICUT STREET, Merrillville IN 46410
indianalicensing.org
ID 5891812
LAST UPDATED 2024-04-19 08:48:25 UTC
LAST UPDATED 2024-04-19 08:48:25 UTC
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