Richard P. Stephens, JR

Controlled Substance Registration - Physician

Indiana  01031973B   Active

This Indiana license is held by Richard P. Stephens, JR. The license is currently active. It was granted on 08/31/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01031973B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 08/31/1986 (almost 38 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

6119 WEST JEFFERSON BLVD, FORT WAYNE IN 46804