Indiana
Professional Licensing Agency
Beth Ann Beasley
Controlled Substance Registration-Physician Assistant
License number
10000525B
Date granted
10/03/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
5555 Inwood Drive, Greenwood IN 46143
indianalicensing.org
ID 8386839
LAST UPDATED 2024-03-03 03:15:01 UTC
LAST UPDATED 2024-03-03 03:15:01 UTC
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