BENJAMIN C MANNIX MD - Medical Doctor License in Indiana | # 036087391

BENJAMIN C MANNIX MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087391

License Status

INACTIVE

Business

N

First Name

BENJAMIN C

Last Name

MANNIX

Suffix

MD

Business Name

BENJAMIN C MANNIX MD

Original Issue Date

09/13/1993

Effective Date

09/13/1993

Expiration Date

07/31/1996

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006