License holder summary

Beau Vincent Taylor is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Beau Vincent Taylor is Greenwood Dental Group, 710 Averitt Rd., Greenwood IN 46143. This licensed professional license is current. The license was granted 06/08/2007 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Beau Vincent Taylor
Controlled Substance Registration - Dentist
License number
12011000B
Date granted
06/08/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Greenwood Dental Group, 710 Averitt Rd., Greenwood IN 46143
indianalicensing.org
ID 5099005
LAST UPDATED 2024-02-18 05:44:19 UTC

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