Indiana
Professional Licensing Agency
Walter Phil Beaver
Controlled Substance Registration - Physician
License number
01025309B
Date granted
06/11/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
18077 River Ave. Suite 104, Noblesville IN 46062
indianalicensing.org
ID 5907508
LAST UPDATED 2024-03-09 07:06:35 UTC
LAST UPDATED 2024-03-09 07:06:35 UTC
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