Indiana
Professional Licensing Agency
Peter Douglas Stephan
Controlled Substance Registration - Physician
License number
01035748B
Date granted
12/12/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
724 Riverview Dr, Kokomo IN 46901
indianalicensing.org
ID 5876852
LAST UPDATED 2024-03-23 19:34:59 UTC
LAST UPDATED 2024-03-23 19:34:59 UTC
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