Indiana
Professional Licensing Agency
Susan Cavins-Stewart
Controlled Substance Registration - Physician
License number
01042857B
Date granted
08/25/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
14143 Ivybridge Drive, Carmel IN 46032
indianalicensing.org
ID 5832085
LAST UPDATED 2024-04-14 21:45:55 UTC
LAST UPDATED 2024-04-14 21:45:55 UTC
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