Indiana
Professional Licensing Agency
Donald Edward Stork
Controlled Substance Registration-Osteopathic Physician
License number
02001336B
Date granted
06/25/1992
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
HAMMOND CLINIC, 7905 CALUMET AVENUE, MUNSTER IN 46321
indianalicensing.org
ID 5809897
LAST UPDATED 2024-03-07 11:26:52 UTC
LAST UPDATED 2024-03-07 11:26:52 UTC
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