Indiana
Professional Licensing Agency
John Robert Bean
Controlled Substance Registration - Dentist
License number
12008202B
Date granted
10/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1610 NORTH LEBANON STREET, LEBANON IN 46052
indianalicensing.org
ID 5108575
LAST UPDATED 2024-02-28 05:27:39 UTC
LAST UPDATED 2024-02-28 05:27:39 UTC
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