License holder summary

David Eugene Stiasny is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David Eugene Stiasny is South Bend Clinic, 52500 Fir Road, Granger IN 46530-8579. This licensed professional license is not current. The license was granted 03/06/2012 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

David Eugene Stiasny
Controlled Substance Registration - Physician
License number
01070771B
Date granted
03/06/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
South Bend Clinic, 52500 Fir Road, Granger IN 46530-8579
indianalicensing.org
ID 5859467
LAST UPDATED 2024-04-11 05:18:57 UTC

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