License holder summary

EDWARD LIVINGSTON STEVENS JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EDWARD LIVINGSTON STEVENS JR is LUTHERAN HOSP NEURATAL ICU, 7950 W JEFFERSON BLVD, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 06/01/1995 and expired on 06/30/1997.

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 2026-05-22 03:50:00 UTC

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