Indiana
Professional Licensing Agency
Kip Randall Beard
Controlled Substance Registration - Physician
License number
01045524B
Date granted
10/25/1996
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BALL MEMORIAL HOSPITAL, 2401 W UNIVERITY AVE, MUNCIE IN 47303
indianalicensing.org
ID 5898734
LAST UPDATED 2024-04-17 08:43:13 UTC
LAST UPDATED 2024-04-17 08:43:13 UTC
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