Indiana
Professional Licensing Agency
Melanie A. Beam
Controlled Substance Registration - Dentist
License number
12010742B
Date granted
07/19/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
101 N. Mishawaka St. P.O. Box 808, Akron IN 46910
indianalicensing.org
ID 5080216
LAST UPDATED 2024-04-27 03:10:37 UTC
LAST UPDATED 2024-04-27 03:10:37 UTC
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