License holder summary

BEAUFORT A SPENCER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BEAUFORT A SPENCER is 110 EAST 10TH STREET, BLOOMINGTON IN 47403. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1989.

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

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