Indiana
Professional Licensing Agency
EDWARD LIVINGSTON STEVENS JR
Controlled Substance Registration - Physician
License number
01043802B
Date granted
06/01/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LUTHERAN HOSP NEURATAL ICU, 7950 W JEFFERSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 5853293
LAST UPDATED 2024-03-15 08:55:08 UTC
LAST UPDATED 2024-03-15 08:55:08 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.