GREGORY S BENSON - Dentist License in Indiana | # 31*****88

GREGORY S BENSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

N

First Name

GREGORY S

Last Name

BENSON

Business Name

GREGORY S BENSON

Original Issue Date

02/08/2012

Effective Date

02/08/2012

Expiration Date

09/30/2012

State

IN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II

Ever Disciplined

N

LastModifiedDate

11/14/2012