Indiana
Professional Licensing Agency
Jeremy David Bewley
Controlled Substance Registration - Dentist
License number
12011043B
Date granted
03/30/2009
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
500 North 26th Streeet, Lafayette IN 47904
indianalicensing.org
ID 5107590
LAST UPDATED 2024-03-12 19:03:27 UTC
LAST UPDATED 2024-03-12 19:03:27 UTC
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