Jeffrey Thomas Beacham
Controlled Substance Registration - Dentist
Indiana 12011662B Active
This Indiana license is held by Jeffrey Thomas Beacham. The license is currently active. It was granted on 06/17/2011 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12011662B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 06/17/2011 (almost 14 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
AFDENT, 4041 Parnell Avenue, Fort Wayne IN 46805
Are you Jeffrey Thomas Beacham? Show the world that you're licensed by displaying your personal badge.
Get Badge