Stephen Randall Porter
Controlled Substance Registration - Physician
Indiana 01046764B Suspended
This Indiana license was held by Stephen Randall Porter. The license is no longer active. It was granted on 05/22/1997 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01046764B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 05/22/1997 (about 28 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
OXFORD UNTERNAL MED, 10130 OXFORD PIKE, BROOKVILLE IN 47012