License holder summary

PAUL A STEPHENS is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for PAUL A STEPHENS is STEPHENS DENTAL CLINIC INC, 2200 GRANT STREET, GARY IN 46404. This licensed professional license is not current. The license was granted 03/01/1996 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

PAUL A STEPHENS
Controlled Substance Registration - Dentist
License number
12004662B
Date granted
03/01/1996
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
STEPHENS DENTAL CLINIC INC, 2200 GRANT STREET, GARY IN 46404
indianalicensing.org
ID 5097621
LAST UPDATED 2024-03-18 03:17:24 UTC

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