License holder summary

STEPHEN PHILLIPS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for STEPHEN PHILLIPS is 550 LANDMARK AVENUE, PO BOX 4366, BLOOMINGTON IN 47402. This licensed professional license is not current. The license was granted 08/27/1998 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

STEPHEN PHILLIPS
Controlled Substance Registration - Physician
License number
01049361B
Date granted
08/27/1998
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
550 LANDMARK AVENUE, PO BOX 4366, BLOOMINGTON IN 47402
indianalicensing.org
ID 5825828
LAST UPDATED 2024-04-15 10:15:12 UTC

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