Jacqueline Marie Stevens

Nursing Board - Csr Prescriptive Authority

Indiana  71001809B   Active

This Indiana license is held by Jacqueline Marie Stevens. The license is currently active. It was granted on 09/28/2004 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71001809B
  • Category: CSR-Prescriptive Authority
  • Status: Active
  • Date Granted: 09/28/2004 (over 19 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Lutheran Medical Group, L.L.C., 7916 W. Jefferson Blvd., Fort Wayne IN 46804