Indiana
Professional Licensing Agency
BEENA REBECCA GEORGE
Controlled Substance Registration - Physician
License number
01036446B
Date granted
01/06/1988
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CANTERBURRY GREEN APTS, 2715-4 NORTHGATE, FORT WAYNE IN 46835
indianalicensing.org
ID 5852985
LAST UPDATED 2024-03-30 03:02:52 UTC
LAST UPDATED 2024-03-30 03:02:52 UTC
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