Indiana
Professional Licensing Agency
Jerry Lee Stevenson
Controlled Substance Registration - Physician
License number
01020681B
Date granted
11/25/1987
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOHNS MEDICAL CENTER, 2015 JACKSON STREET, ANDERSON IN 46014
indianalicensing.org
ID 5817416
LAST UPDATED 2024-04-06 15:34:27 UTC
LAST UPDATED 2024-04-06 15:34:27 UTC
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