Indiana
Professional Licensing Agency
BEAUFORT A SPENCER
Controlled Substance Registration - Physician
License number
01014700B
Date granted
01/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
110 EAST 10TH STREET, BLOOMINGTON IN 47403
indianalicensing.org
ID 5823803
LAST UPDATED 2024-04-07 13:15:12 UTC
LAST UPDATED 2024-04-07 13:15:12 UTC
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