Indiana
Professional Licensing Agency
Carl F Stallman Jr
Controlled Substance Registration - Physician
License number
01016253B
Date granted
01/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 905, 409 EAST WAYNE, KENDALLVILLE IN 46755
indianalicensing.org
ID 5874766
LAST UPDATED 2024-04-02 04:19:55 UTC
LAST UPDATED 2024-04-02 04:19:55 UTC
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