License holder summary

Stephen J. Fairchild is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Stephen J. Fairchild is ORAL SURGERY GROUP INC, 1140 SOUTH CALUMET ROAD, CHESTERTON IN 46304. This licensed professional license is not current. The license was granted 02/24/1998 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Stephen J. Fairchild
Controlled Substance Registration - Dentist
License number
12007855D
Date granted
02/24/1998
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
ORAL SURGERY GROUP INC, 1140 SOUTH CALUMET ROAD, CHESTERTON IN 46304
indianalicensing.org
ID 5086570
LAST UPDATED 2024-03-31 18:46:35 UTC

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