License holder summary

Matthew Jacob Stephens is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Matthew Jacob Stephens is 2051 Clevidence Blvd., Clarksville IN 47129. This licensed professional license is current. The license was granted 12/27/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Matthew Jacob Stephens
Controlled Substance Registration - Physician
License number
01068794B
Date granted
12/27/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2051 Clevidence Blvd., Clarksville IN 47129
indianalicensing.org
ID 5834433
LAST UPDATED 2024-03-15 19:52:55 UTC

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