Indiana
Professional Licensing Agency
Stephen Alvin Cook
Controlled Substance Registration - Dentist
License number
12007594B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2114 Scott Street, Lafayette IN 47904
indianalicensing.org
ID 5107881
LAST UPDATED 2024-03-21 02:57:04 UTC
LAST UPDATED 2024-03-21 02:57:04 UTC
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