The holder whose full name is Benken, Lawrence Dennert,come from Muncie IN,hold the Physician license(NO.01016393A) which status is Expired Non-Renewable.
Name | Benken, Lawrence Dennert |
---|---|
License Number | 01016393A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Muncie |
State | IN |