Michael Joseph Destefano
Controlled Substance Registration - Physician
Indiana 01027434B Active
This Indiana license is held by Michael Joseph Destefano. The license is currently active. It was granted on 07/31/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01027434B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/31/1986 (almost 39 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
100 Navarre Place, Suite 4470, South Bend IN 46601
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