Michael Clark Beaty

Controlled Substance Registration - Dentist

Indiana  12009222B   Active

This Indiana license is held by Michael Clark Beaty. The license is currently active. It was granted on 06/21/1990 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009222B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 06/21/1990 (almost 35 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

DANVILLE DENTAL CLINIC, 2166 EAST MAIN, DANVILLE IN 46122