Indiana
Professional Licensing Agency
Qualls Stevens
Controlled Substance Registration-Osteopathic Physician
License number
02003123B
Date granted
09/26/2006
Date expires
06/30/2007
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Spine Surgery, PSC, 590 Missouri Avenue, Suite 206, Jeffersonville IN 47130
indianalicensing.org
ID 5806255
LAST UPDATED 2024-02-28 03:06:57 UTC
LAST UPDATED 2024-02-28 03:06:57 UTC
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