Indiana
Professional Licensing Agency
Wayne William Beach
Controlled Substance Registration - Dentist
License number
12008961B
Date granted
12/14/1987
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
603 WEST ADAMS STREET, DECATUR IN 46733
indianalicensing.org
ID 5089485
LAST UPDATED 2024-04-25 18:08:43 UTC
LAST UPDATED 2024-04-25 18:08:43 UTC
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