Indiana
Professional Licensing Agency
Jennifer Lynn Beavin
Controlled Substance Registration - Dentist
License number
12011286B
Date granted
05/26/2009
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Kool Smiles, 400 East Diamond Avenue, Evansville IN 47711
indianalicensing.org
ID 5092144
LAST UPDATED 2026-03-28 13:07:54 UTC
LAST UPDATED 2026-03-28 13:07:54 UTC
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