Stephen J. Fairchild
Controlled Substance Registration - Dentist
Indiana 12007855E Expired
This Indiana license was held by Stephen J. Fairchild. The license is no longer active. It was granted on 03/14/1990 and expired on 03/01/1994
LICENSE DETAILS
- License Number: 12007855E
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 03/14/1990 (over 34 years ago)
- Expiry Date: 03/01/1994 (over 30 years ago)
LOCATIONS
A Address
ORAL SURGERY GROUP INC, 5939 CENTRAL AVENUE, PORTAGE IN 46368