License holder summary

Kristen Melissa Beavers is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kristen Melissa Beavers is 6555 Quail Run, Fishers IN 46038-4646. This licensed professional license is current. The license was granted 09/11/2006 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kristen Melissa Beavers
Controlled Substance Registration - Dentist
License number
12010891B
Date granted
09/11/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6555 Quail Run, Fishers IN 46038-4646
indianalicensing.org
ID 5093497
LAST UPDATED 2024-03-12 11:44:13 UTC

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