Indiana
Professional Licensing Agency
Kevin Michael Stockmaster
Controlled Substance Registration-Osteopathic Physician
License number
02003226B
Date granted
05/07/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
5734 Coventry Lane, Fort Wayne IN 46804
indianalicensing.org
ID 5800557
LAST UPDATED 2026-04-20 19:52:12 UTC
LAST UPDATED 2026-04-20 19:52:12 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.