Indiana
Professional Licensing Agency
Jonathan T Stafford
Controlled Substance Registration - Physician
License number
01024338C
Date granted
02/24/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health Bedford, 2900 16th St., Bedford IN 47421
indianalicensing.org
ID 5822261
LAST UPDATED 2024-03-19 23:40:36 UTC
LAST UPDATED 2024-03-19 23:40:36 UTC
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