Indiana
Professional Licensing Agency
Michael Clark Beaty
Controlled Substance Registration - Dentist
License number
12009222B
Date granted
06/21/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
DANVILLE DENTAL CLINIC, 2166 EAST MAIN, DANVILLE IN 46122
indianalicensing.org
ID 5089262
LAST UPDATED 2024-03-23 18:52:35 UTC
LAST UPDATED 2024-03-23 18:52:35 UTC
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