License holder summary

Willis Wade Stevenson, III is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Willis Wade Stevenson, III is OSMC, 2310 California Road, Elkhart IN 46514. This licensed professional license is current. The license was granted 08/09/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Willis Wade Stevenson, III
Controlled Substance Registration - Physician
License number
01062348B
Date granted
08/09/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
OSMC, 2310 California Road, Elkhart IN 46514
indianalicensing.org
ID 5848941
LAST UPDATED 2024-04-10 13:18:12 UTC

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