License holder summary

Stephen Jerome Shideler is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Stephen Jerome Shideler is 755 West Carmel Drive, Suite 101, Attn: Rachel, CARMEL IN 46032. This licensed professional license is current. The license was granted 06/02/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Stephen Jerome Shideler
Controlled Substance Registration - Physician
License number
01025166B
Date granted
06/02/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
755 West Carmel Drive, Suite 101, Attn: Rachel, CARMEL IN 46032
indianalicensing.org
ID 5831997
LAST UPDATED 2024-03-20 10:34:26 UTC

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