Indiana
Professional Licensing Agency
KENNETH STEVENS
Controlled Substance Registration - Physician
License number
01035912B
Date granted
06/11/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DEPT MED ED ST CATHERINE H, 4321 FIR STREET, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845508
LAST UPDATED 2024-03-12 21:55:57 UTC
LAST UPDATED 2024-03-12 21:55:57 UTC
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