Indiana
Professional Licensing Agency
Steven D. Maynard
Controlled Substance Registration - Physician
License number
01033888B
Date granted
10/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1739 No. 4th Street, Terre Haute IN 47804-4002
indianalicensing.org
ID 5926673
LAST UPDATED 2024-03-24 09:19:21 UTC
LAST UPDATED 2024-03-24 09:19:21 UTC
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