Indiana
Professional Licensing Agency
Frederick Richard Stack
Controlled Substance Registration - Physician
License number
01042051C
Date granted
12/28/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1504 TANGLEWOOD LANE, NASHVILLE IN 47448
indianalicensing.org
ID 5901912
LAST UPDATED 2024-03-26 06:16:08 UTC
LAST UPDATED 2024-03-26 06:16:08 UTC
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