STEPHEN PANIC

Controlled Substance Registration - Physician

Indiana  01028822B   Expired

This Indiana license was held by STEPHEN PANIC. The license is no longer active. It was granted on 03/04/1991 and expired on 06/30/1999

LICENSE DETAILS

  • License Number: 01028822B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 03/04/1991 (over 33 years ago)
  • Expiry Date: 06/30/1999 (almost 25 years ago)

LOCATIONS

A Address

1926 CREEK BANK LANE, SOUTH BEND IN 46635