License holder summary

Gary Edward Staadt is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Gary Edward Staadt is 1204 East National Avenue, PO Box 603, Brazil IN 47834-2718. This licensed professional license is current. The license was granted 08/19/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Gary Edward Staadt
Controlled Substance Registration - Dentist
License number
12008618B
Date granted
08/19/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1204 East National Avenue, PO Box 603, Brazil IN 47834-2718
indianalicensing.org
ID 5083987
LAST UPDATED 2024-03-12 00:16:33 UTC

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