Indiana
Professional Licensing Agency
Stephen A. Phillips
Controlled Substance Registration - Physician
License number
01028159B
Date granted
06/30/1983
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
400 Pligrim Blvd., Hartford City IN 47348
indianalicensing.org
ID 5866071
LAST UPDATED 2024-05-11 20:09:32 UTC
LAST UPDATED 2024-05-11 20:09:32 UTC
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