Indiana
Professional Licensing Agency
Annette Darlene Beasley
Controlled Substance Registration - Physician
License number
01053156B
Date granted
03/01/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4090 Main St. SE, PO Box 338, New Middletown IN 47160
indianalicensing.org
ID 5905006
LAST UPDATED 2026-04-10 10:08:57 UTC
LAST UPDATED 2026-04-10 10:08:57 UTC
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