Russell Wayne Stevens
Controlled Substance Registration - Physician
Indiana 01048851C Expired
This Indiana license was held by Russell Wayne Stevens. The license is no longer active. It was granted on 11/24/2003 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01048851C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/24/2003 (over 21 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
Russell Wayne Stevens, 404 Slate Run Drive, Henryville IN 47126