Indiana
Professional Licensing Agency
Stephen Russel Myron
Controlled Substance Registration - Physician
License number
01029521B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
430 West Votaw Street, Portland IN 47371
indianalicensing.org
ID 5911584
LAST UPDATED 2024-04-11 10:12:23 UTC
LAST UPDATED 2024-04-11 10:12:23 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.