Kenneth Samuel Stone

Controlled Substance Registration - Physician

Indiana  01036689B   Active

This Indiana license is held by Kenneth Samuel Stone. The license is currently active. It was granted on 04/26/1988 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01036689B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/26/1988 (over 38 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

1116 North 16th Street, Lafayette IN 47904