License holder summary

STEPHEN JAMES LEBAMOFF is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for STEPHEN JAMES LEBAMOFF is 3609 LAKE AVENUE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 04/04/1986 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

STEPHEN JAMES LEBAMOFF
Controlled Substance Registration - Physician
License number
01034922B
Date granted
04/04/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3609 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 5854517
LAST UPDATED 2024-03-09 18:21:09 UTC

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