License holder summary

Jeffrey Michael Stidam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeffrey Michael Stidam is Medical Center Cardiology, 213 Hunter Station Road, Sellersburg IN 47172. This licensed professional license is current. The license was granted 03/28/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeffrey Michael Stidam
Controlled Substance Registration - Physician
License number
01063360B
Date granted
03/28/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Medical Center Cardiology, 213 Hunter Station Road, Sellersburg IN 47172
indianalicensing.org
ID 5918197
LAST UPDATED 2024-05-21 15:38:17 UTC

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