Stephen R Dannewitz
Controlled Substance Registration - Physician
Indiana 01029133C Expired
This Indiana license was held by Stephen R Dannewitz. The license is no longer active. It was granted on 03/11/2004 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01029133C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/11/2004 (over 21 years ago)
- Expiry Date: 06/30/2005 (about 20 years ago)
LOCATIONS
A Address
ATTN: Beth Slack c/o Medical staff office, 3901 s. 7th St., Terre Haute IN 47802