M GENE STEVENS

Controlled Substance Registration - Dentist

Indiana  12005341B   Expired

This Indiana license was held by M GENE STEVENS. The license is no longer active. It was granted on 01/31/1986 and expired on 03/01/2000

LICENSE DETAILS

  • License Number: 12005341B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 01/31/1986 (over 38 years ago)
  • Expiry Date: 03/01/2000 (over 24 years ago)

LOCATIONS

A Address

2529 SANDREST BOULEVARD, COLUMBUS IN 47203