Derek M. Stephens, D.D.S.
Radiology - Radiation Facility Dental
Indiana XF900996 Expired
This Indiana license was held by Derek M. Stephens, D.D.S.. The license is no longer active. It was granted on 05/26/2005 and expired on 08/26/2014
LICENSE DETAILS
- License Number: XF900996
- Category: Radiation Facility - Dental
- Status: Expired
- Date Granted: 05/26/2005 (almost 20 years ago)
- Expiry Date: 08/26/2014 (over 10 years ago)
LOCATIONS
A Address
3229 Broadway, Gary IN 46409-1036