DALE A BENISH Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003143

License Status

INACTIVE

Business

First Name

DALE A

Last Name

BENISH

Business Name

DALE A BENISH

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

01/31/1985

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006