BEAUFORT A SPENCER
Controlled Substance Registration - Physician
Indiana 01014700B Expired
This Indiana license was held by BEAUFORT A SPENCER. The license is no longer active. It was granted on 01/31/1986 and expired on 06/30/1989
LICENSE DETAILS
- License Number: 01014700B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1986 (over 38 years ago)
- Expiry Date: 06/30/1989 (almost 35 years ago)
LOCATIONS
A Address
110 EAST 10TH STREET, BLOOMINGTON IN 47403