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 2024-03-07 02:01:52 UTC
LAST UPDATED 2024-03-07 02:01:52 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.