License holder summary

STEPHEN JAY DATENA is a Physician licensed to practice in Indiana. The address on file for STEPHEN JAY DATENA is Portland OR 97212. This licensed professional license is not current. The license was granted 07/01/1985 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

STEPHEN JAY DATENA
Physician
License number
01034474A
Date granted
07/01/1985
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
Portland OR 97212
indianalicensing.org
ID 6094617
LAST UPDATED 2024-02-25 18:44:35 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with STEPHEN JAY DATENA's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending