Indiana
Professional Licensing Agency
Joseph Russell Stewart
Controlled Substance Registration - Dentist
License number
12008658B
Date granted
01/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Wanatah Dental Services, 108 South Illinois Street, P.O. Box 359, Wanatah IN 46390
indianalicensing.org
ID 5126987
LAST UPDATED 2024-03-02 18:40:58 UTC
LAST UPDATED 2024-03-02 18:40:58 UTC
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