Indiana
Professional Licensing Agency
Eric David Beachy
Controlled Substance Registration - Physician
License number
01052815C
Date granted
11/21/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
201 W. Academy St., Bloomingdale IN 47832
indianalicensing.org
ID 5823665
LAST UPDATED 2024-04-04 17:39:15 UTC
LAST UPDATED 2024-04-04 17:39:15 UTC
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