License holder summary

Beverly Trent Maxam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Beverly Trent Maxam is 11036 Lincoln Trails Drive, Indianapolis IN 46236. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Beverly Trent Maxam
Controlled Substance Registration - Physician
License number
01015987B
Date granted
02/28/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
11036 Lincoln Trails Drive, Indianapolis IN 46236
indianalicensing.org
ID 5868940
LAST UPDATED 2024-02-08 09:15:26 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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