Stephen J. Fairchild
Controlled Substance Registration - Dentist
Indiana 12007855B Active
This Indiana license is held by Stephen J. Fairchild. The license is currently active. It was granted on 03/31/1986 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12007855B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 03/31/1986 (over 38 years ago)
- Expiry Date: 03/01/2016 (over 8 years ago)
LOCATIONS
A Address
61 West 86th Avenue, Merrillville IN 46410
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