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 The license is no longer active.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