License holder summary

Stephen Own Raibley is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Stephen Own Raibley is 119 NORTH FIRST STREET, BOONVILLE IN 47601. This licensed professional license is not current. The license was granted 08/27/1999 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Stephen Own Raibley
Controlled Substance Registration - Dentist
License number
12007055B
Date granted
08/27/1999
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
119 NORTH FIRST STREET, BOONVILLE IN 47601
indianalicensing.org
ID 5083817
LAST UPDATED 2024-03-10 21:54:51 UTC

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

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