License holder summary

Rebecca Downie Bivens is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Rebecca Downie Bivens is 982 Koehlinger Drive, New Haven IN 46774. This licensed professional license is current. The license was granted 06/03/2008 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Rebecca Downie Bivens
Controlled Substance Registration - Dentist
License number
12011158B
Date granted
06/03/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
982 Koehlinger Drive, New Haven IN 46774
indianalicensing.org
ID 5116032
LAST UPDATED 2024-03-31 00:27:13 UTC

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