Theodore Lyons Stern
Controlled Substance Registration - Physician
Indiana 01058075B Active
This Indiana license is held by Theodore Lyons Stern. The license is currently active. It was granted on 09/07/2003 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01058075B
- Category: CSR-Physician
- Status: Active
- Date Granted: 09/07/2003 (over 21 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
St. Margaret Mercy Healthcare, 5454 Hohman Avenue, Hammond IN 46320
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