Beverly Trent Maxam
Controlled Substance Registration - Physician
Indiana 01015987B Expired
This Indiana license was held by Beverly Trent Maxam. The license is no longer active. It was granted on 02/28/1986 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01015987B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/28/1986 (over 38 years ago)
- Expiry Date: 10/31/2013 (over 10 years ago)
LOCATIONS
A Address
11036 Lincoln Trails Drive, Indianapolis IN 46236