Indiana
Professional Licensing Agency
Stephen Leif Nelson
Controlled Substance Registration - Dentist
License number
12006682B
Date granted
08/31/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
244 W EDISON RD, MISHAWAKA IN 46544
indianalicensing.org
ID 5112836
LAST UPDATED 2024-04-16 02:53:10 UTC
LAST UPDATED 2024-04-16 02:53:10 UTC
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