License holder summary

THOMAS W BENNETT M D is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for THOMAS W BENNETT M D is 3030 LAKE AVENUE SUITE 26, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 06/04/1981 and expired on 01/31/1992.

Indiana

Professional Licensing Agency

THOMAS W BENNETT M D
Medical Licensing Board - Medical Corporation
License number
50002029A
Date granted
06/04/1981
Date expires
01/31/1992
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3030 LAKE AVENUE SUITE 26, FORT WAYNE IN 46805
indianalicensing.org
ID 24827048
LAST UPDATED 2024-05-02 12:02:15 UTC

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

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