Indiana
Professional Licensing Agency
Erick Stephanian
Controlled Substance Registration - Physician
License number
01042238B
Date granted
02/23/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1530 N 7th Street, Suite 107, Terre Haute IN 47804
indianalicensing.org
ID 5925142
LAST UPDATED 2024-03-17 22:48:11 UTC
LAST UPDATED 2024-03-17 22:48:11 UTC
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