The holder whose full name is KASSANOFF, BENJAMIN E,come from INDIANAPOLIS IN,hold the Medical Residency Permit license(NO.11005747A) which status is Expired.
| Name | KASSANOFF, BENJAMIN E |
|---|---|
| License Number | 11005747A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |