Stephanie Jane Russ
Controlled Substance Registration-Osteopathic Physician
Indiana 02003568B Active
This Indiana license is held by Stephanie Jane Russ. The license is currently active. It was granted on 09/04/2009 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 02003568B
- Category: CSR-Osteopathic Physician
- Status: Active
- Date Granted: 09/04/2009 (almost 15 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
1251 S. Huntzinger Blvd Suite 100, Pendleton IN 46064
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