License holder summary

JAN O STAMPLEY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JAN O STAMPLEY is GARY COMMUNITY MENTAL CTR, 1100 WEST 6TH AVENUE, GARY IN IN 46402. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

JAN O STAMPLEY
Controlled Substance Registration - Physician
License number
01032473B
Date granted
06/30/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GARY COMMUNITY MENTAL CTR, 1100 WEST 6TH AVENUE, GARY IN IN 46402
indianalicensing.org
ID 5856751
LAST UPDATED 2024-03-16 16:05:23 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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