Indiana
Professional Licensing Agency
HENRY A STAUNTON
Controlled Substance Registration - Physician
License number
01014271B
Date granted
01/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3016 MISHAWAKA AVENUE, SOUTH BEND IN 46615
indianalicensing.org
ID 5921092
LAST UPDATED 2024-03-18 09:48:32 UTC
LAST UPDATED 2024-03-18 09:48:32 UTC
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