Stephen Randall Fugaj
Controlled Substance Registration - Dentist
Indiana 12011816B Active
This Indiana license is held by Stephen Randall Fugaj. The license is currently active. It was granted on 06/01/2012 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12011816B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 06/01/2012 (about 13 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
9207 Wicker Avenue, Saint John IN 46373
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