Michael Joseph Stennis
Controlled Substance Registration - Physician
Indiana 01060089C Expired
This Indiana license was held by Michael Joseph Stennis. The license is no longer active. It was granted on 11/05/2010 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01060089C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/05/2010 (over 14 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Parkside Dental Care, 1515 45th Avenue, Griffith IN 46319