PAUL A STEPHENS

Controlled Substance Registration - Dentist

Indiana  12004662B   Expired

This Indiana license was held by PAUL A STEPHENS. The license is no longer active. It was granted on 03/01/1996 and expired on 03/01/2004

LICENSE DETAILS

  • License Number: 12004662B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 03/01/1996 (about 29 years ago)
  • Expiry Date: 03/01/2004 (about 21 years ago)

LOCATIONS

A Address

STEPHENS DENTAL CLINIC INC, 2200 GRANT STREET, GARY IN 46404