Indiana
Professional Licensing Agency
Don F. Stallman
Controlled Substance Registration - Physician
License number
01027870B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
409 EAST WAYNE STREET, P O BOX 397, KENDALLVILLE IN 46755
indianalicensing.org
ID 5874904
LAST UPDATED 2024-04-13 04:18:56 UTC
LAST UPDATED 2024-04-13 04:18:56 UTC
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