Joseph Leonard De Stefano

Controlled Substance Registration - Physician

Indiana  01042109B   Active

This Indiana license is held by Joseph Leonard De Stefano. The license is currently active. It was granted on 02/10/1994 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01042109B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 02/10/1994 (about 31 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Joseph L DeStefano, 14473 Blue Sky Court, Carmel IN 46032