License holder summary

VAN STEVEN MASK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for VAN STEVEN MASK is GIBSON GENERAL HOSP EMERGENCY DEPT, 1808 SHERMAN DRIVE, PRINCETON IN 47670. This licensed professional license is not current. The license was granted 08/22/1991 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

VAN STEVEN MASK
Controlled Substance Registration - Physician
License number
01039693B
Date granted
08/22/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GIBSON GENERAL HOSP EMERGENCY DEPT, 1808 SHERMAN DRIVE, PRINCETON IN 47670
indianalicensing.org
ID 5912238
LAST UPDATED 2024-04-17 12:55:42 UTC

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