License holder summary

DAVID WAYNE STEPHENSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID WAYNE STEPHENSON is ROCKPORT CLINIC MRS MONAR, 559 MAIN STREET, ROCKPORT IN 47635. This licensed professional license is not current. The license was granted 10/01/1991 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

DAVID WAYNE STEPHENSON
Controlled Substance Registration - Physician
License number
01039737B
Date granted
10/01/1991
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ROCKPORT CLINIC MRS MONAR, 559 MAIN STREET, ROCKPORT IN 47635
indianalicensing.org
ID 5915303
LAST UPDATED 2024-03-14 13:20:05 UTC

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