License holder summary

Edwin Walter Stevens is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Edwin Walter Stevens is 12289 BAJADA ROAD, MUNSTER IN 46321. This licensed professional license is not current. The license was granted 04/10/1952 and expired on 01/31/1985.

Indiana

Professional Licensing Agency

Edwin Walter Stevens
Controlled Substance Registration - Physician
License number
01016376B
Date granted
04/10/1952
Date expires
01/31/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
12289 BAJADA ROAD, MUNSTER IN 46321
indianalicensing.org
ID 5900185
LAST UPDATED 2024-04-05 11:18:43 UTC

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