Indiana
Professional Licensing Agency
ANDY JOE STAFFORD
Controlled Substance Registration - Physician
License number
01031189B
Date granted
09/30/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2920 McIntire Drive, Suite 250, Bloomington IN 47402
indianalicensing.org
ID 5823756
LAST UPDATED 2024-02-19 06:51:57 UTC
LAST UPDATED 2024-02-19 06:51:57 UTC
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