License holder summary

Kimberly Lorraine Beavers is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kimberly Lorraine Beavers is 3611 S. Reed Rd., Suite 211, Kokomo IN 46902. This licensed professional license is not current. The license was granted 04/23/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Kimberly Lorraine Beavers
Controlled Substance Registration - Physician
License number
01059021B
Date granted
04/23/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3611 S. Reed Rd., Suite 211, Kokomo IN 46902
indianalicensing.org
ID 5876495
LAST UPDATED 2026-04-25 06:33:53 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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