Indiana
Professional Licensing Agency
Kathleen Judith Beache
Controlled Substance Registration - Dentist
License number
12009653C
Date granted
02/10/1997
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
CITIZENS HEALTH CENTER, 1650 N COLLEGE AVE, INDIANAPOLIS IN 46205
indianalicensing.org
ID 5103211
LAST UPDATED 2024-03-13 11:08:23 UTC
LAST UPDATED 2024-03-13 11:08:23 UTC
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