Indiana
Professional Licensing Agency
Jeffrey Alan Stolarz
Controlled Substance Registration - Dentist
License number
12010194B
Date granted
11/05/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1032 119th Street, Whiting IN 46394-1471
indianalicensing.org
ID 5128197
LAST UPDATED 2024-03-08 19:30:14 UTC
LAST UPDATED 2024-03-08 19:30:14 UTC
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