License holder summary

M GENE STEVENS is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for M GENE STEVENS is 2529 SANDREST BOULEVARD, COLUMBUS IN 47203. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

M GENE STEVENS
Controlled Substance Registration - Dentist
License number
12005341B
Date granted
01/31/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2529 SANDREST BOULEVARD, COLUMBUS IN 47203
indianalicensing.org
ID 5087961
LAST UPDATED 2024-04-12 01:50:04 UTC

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