License holder summary

LAWRENCE B STAUBACH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for LAWRENCE B STAUBACH is BEDFORD MEDICAL CENTER, 2900 WEST 16TH STREET, BEDFORD IN 47421. This licensed professional license is not current. The license was granted 07/15/1985 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

LAWRENCE B STAUBACH
Controlled Substance Registration - Physician
License number
01034401B
Date granted
07/15/1985
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BEDFORD MEDICAL CENTER, 2900 WEST 16TH STREET, BEDFORD IN 47421
indianalicensing.org
ID 5822333
LAST UPDATED 2024-03-12 13:37:24 UTC

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