Indiana
Professional Licensing Agency
Steven I. Lewallen
Controlled Substance Registration - Physician
License number
01023929C
Date granted
06/10/1994
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FORD MOTOR CO MEDICAL COMANY, 3120 WEST 16TH STREET, BEDFORD IN 47421
indianalicensing.org
ID 5822655
LAST UPDATED 2024-02-06 21:59:06 UTC
LAST UPDATED 2024-02-06 21:59:06 UTC
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