Charles Stephen Paine, Sr.
Controlled Substance Registration - Physician
Indiana 01032275B Expired
This Indiana license was held by Charles Stephen Paine, Sr.. The license is no longer active. It was granted on 01/20/1983 and expired on 01/31/1986
LICENSE DETAILS
- License Number: 01032275B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/20/1983 (over 42 years ago)
- Expiry Date: 01/31/1986 (over 39 years ago)
LOCATIONS
A Address
4407 S WIGGER STREET, MARION IN 46953