Indiana
Professional Licensing Agency
Alan Francis Stack
Controlled Substance Registration - Podiatrist
License number
07000394B
Date granted
09/30/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Podiatrist
Status
Expired
Address
250 N MAIN STREET #12, CROWN POINT IN 46307
indianalicensing.org
ID 8430079
LAST UPDATED 2024-04-23 20:57:58 UTC
LAST UPDATED 2024-04-23 20:57:58 UTC
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