License holder summary

Russell Wayne Stevens is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Russell Wayne Stevens is Russell Wayne Stevens, 404 Slate Run Drive, Henryville IN 47126. This licensed professional license is not current. The license was granted 11/24/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Russell Wayne Stevens
Controlled Substance Registration - Physician
License number
01048851C
Date granted
11/24/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Russell Wayne Stevens, 404 Slate Run Drive, Henryville IN 47126
indianalicensing.org
ID 5866320
LAST UPDATED 2024-02-17 01:44:57 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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