License holder summary

Jennifer M Stevens is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jennifer M Stevens is Medstat Urgent Care & Occupational Health, 1500 Provident Drive Ste A, Warsaw IN 46580. This licensed professional license is current. The license was granted 12/07/2007 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Jennifer M Stevens
Controlled Substance Registration-Physician Assistant
License number
10000558B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Medstat Urgent Care & Occupational Health, 1500 Provident Drive Ste A, Warsaw IN 46580
indianalicensing.org
ID 8388723
LAST UPDATED 2024-03-16 08:38:51 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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