Indiana
Professional Licensing Agency
David Le Roy Beatty
Controlled Substance Registration - Podiatrist
License number
07000776B
Date granted
06/10/1993
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
12311 Autumn Breeze Drive, Fort Wayne IN 46845
indianalicensing.org
ID 8430416
LAST UPDATED 2024-02-19 03:32:31 UTC
LAST UPDATED 2024-02-19 03:32:31 UTC
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