Indiana
Professional Licensing Agency
Mark Tyler Stephan
Physician
License number
01036015A
Date granted
06/25/1987
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Lafayette LA 70508
indianalicensing.org
ID 6068975
LAST UPDATED 2026-05-09 09:32:50 UTC
LAST UPDATED 2026-05-09 09:32:50 UTC
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