Indiana
Professional Licensing Agency
Teresa Diane Beam
Controlled Substance Registration - Physician
License number
01046057B
Date granted
02/10/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Urology of Indiana, L.L.C., 18051 River Avenue, Suite 202, Noblesville IN 46062-7092
indianalicensing.org
ID 5907449
LAST UPDATED 2024-03-04 18:09:31 UTC
LAST UPDATED 2024-03-04 18:09:31 UTC
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