Indiana
Professional Licensing Agency
Charles Stephen Paine, Sr.
Controlled Substance Registration - Physician
License number
01032275B
Date granted
01/20/1983
Date expires
01/31/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4407 S WIGGER STREET, MARION IN 46953
indianalicensing.org
ID 5887795
LAST UPDATED 2024-05-01 20:11:42 UTC
LAST UPDATED 2024-05-01 20:11:42 UTC
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