License holder summary

Stephen Travis Petty is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Stephen Travis Petty is 1852 Bluffton Rd., Fort Wayne IN 46809. This licensed professional license is current. The license was granted 12/16/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Stephen Travis Petty
Controlled Substance Registration - Dentist
License number
12012050B
Date granted
12/16/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1852 Bluffton Rd., Fort Wayne IN 46809
indianalicensing.org
ID 27545600
LAST UPDATED 2024-03-15 21:19:11 UTC

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