License holder summary

KENNETH STEVENS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KENNETH STEVENS is DEPT MED ED ST CATHERINE H, 4321 FIR STREET, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 06/11/1987 and expired on 06/30/1989.

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

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