STEPHEN KIRK DOUGLAS

Apn Prescriptive Authority

Indiana  71001649A   Active

This Indiana license is held by STEPHEN KIRK DOUGLAS. The license is currently active. It was granted on 11/05/2003 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71001649A
  • Category: APN Prescriptive Authority
  • Status: Active
  • Date Granted: 11/05/2003 (almost 23 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Greenwood IN 46143