License holder summary

Randolph & Stephens, MDS, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Randolph & Stephens, MDS, PC is 3030 LAKE AVENUE SUITE 19, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 10/16/1980 and expired on 01/31/2008.

Indiana

Professional Licensing Agency

Randolph & Stephens, MDS, PC
Medical Licensing Board - Medical Corporation
License number
50001857A
Date granted
10/16/1980
Date expires
01/31/2008
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3030 LAKE AVENUE SUITE 19, FORT WAYNE IN 46805
indianalicensing.org
ID 24826952
LAST UPDATED 2024-04-04 16:52:14 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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