Indiana
Professional Licensing Agency
Randall Lee Stevens
Controlled Substance Registration - Physician
License number
01036851B
Date granted
07/08/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1530 North 7th Street , Suite 200, Terre Haute IN 47807
indianalicensing.org
ID 5926334
LAST UPDATED 2024-04-06 06:58:43 UTC
LAST UPDATED 2024-04-06 06:58:43 UTC
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