Stephen Travis Petty
Controlled Substance Registration - Dentist
Indiana 12012050B Active
This Indiana license is held by Stephen Travis Petty. The license is currently active. It was granted on 12/16/2013 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12012050B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 12/16/2013 (over 11 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
1852 Bluffton Rd., Fort Wayne IN 46809
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