License holder summary

KENNETH M STALLINGS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KENNETH M STALLINGS is 436 25TH STREET, GARY IN IN 46407. This licensed professional license is not current. The license was granted 09/30/1985 and expired on 09/30/1985.

Indiana

Professional Licensing Agency

KENNETH M STALLINGS
Controlled Substance Registration - Physician
License number
01032929B
Date granted
09/30/1985
Date expires
09/30/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
436 25TH STREET, GARY IN IN 46407
indianalicensing.org
ID 5856870
LAST UPDATED 2024-03-05 01:43:20 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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