EVERETTE E STEWART
Controlled Substance Registration - Dentist
Indiana 12005161B Expired
This Indiana license was held by EVERETTE E STEWART. The license is no longer active. It was granted on 01/31/1986 and expired on 03/01/1994
LICENSE DETAILS
- License Number: 12005161B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 01/31/1986 (about 38 years ago)
- Expiry Date: 03/01/1994 (about 30 years ago)
LOCATIONS
A Address
6829 COVINGTON CREEK TRAILL, FORT WAYNE IN 46804