License holder summary

Kent R. Bewick is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kent R. Bewick is BEWICK DENTAL GROUP, 3410 WILLOWCREEK ROAD, Portage IN 46368. This licensed professional license is not current. The license was granted 10/29/2002 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Kent R. Bewick
Controlled Substance Registration - Dentist
License number
12008296B
Date granted
10/29/2002
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
BEWICK DENTAL GROUP, 3410 WILLOWCREEK ROAD, Portage IN 46368
indianalicensing.org
ID 5119112
LAST UPDATED 2024-03-17 05:17:12 UTC

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