License holder summary

Keary Allen Bewick is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Keary Allen Bewick is 5019 CENTRAL AVE, LAKE STATION IN 46405. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Keary Allen Bewick
Controlled Substance Registration - Dentist
License number
12008247B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5019 CENTRAL AVE, LAKE STATION IN 46405
indianalicensing.org
ID 5108106
LAST UPDATED 2024-05-10 12:46:10 UTC

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