Indiana
Professional Licensing Agency
Darryl Kenneth Beasley
Controlled Substance Registration - Physician
License number
01047397B
Date granted
08/28/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph's Medical Center Anesthesia Dept., 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5894800
LAST UPDATED 2024-04-12 22:16:04 UTC
LAST UPDATED 2024-04-12 22:16:04 UTC
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