Indiana
Professional Licensing Agency
BEENA M JOSEPH
Controlled Substance Registration - Physician
License number
01050853B
Date granted
12/02/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PAVILION PEDIATRICS, 2525 N UNIVERSITY AVE STE 404, MUNCIE IN 47303
indianalicensing.org
ID 5897689
LAST UPDATED 2024-03-02 09:12:19 UTC
LAST UPDATED 2024-03-02 09:12:19 UTC
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