Indiana
Professional Licensing Agency
Bradley Daniel Stephenson
Controlled Substance Registration-Physician Assistant
License number
10001408B
Date granted
06/28/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
American Health Network, 5250 E US 36 # 610, Avon IN 46123
indianalicensing.org
ID 8385737
LAST UPDATED 2024-03-30 23:22:30 UTC
LAST UPDATED 2024-03-30 23:22:30 UTC
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