Indiana
Professional Licensing Agency
Mary Jay Beam
Controlled Substance Registration - Dentist
License number
12011042B
Date granted
05/21/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
ImmediaDent, 360 New Albany Plaza, New Albany IN 47150
indianalicensing.org
ID 5115438
LAST UPDATED 2024-04-16 02:49:40 UTC
LAST UPDATED 2024-04-16 02:49:40 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.