License holder summary

Leslie Fair Stork is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Leslie Fair Stork is Community Care Center, 9660 Wicker Avenue, Saint John IN 46373. This licensed professional license is not current. The license was granted 06/25/1992 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Leslie Fair Stork
Controlled Substance Registration - Physician
License number
01040407B
Date granted
06/25/1992
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Community Care Center, 9660 Wicker Avenue, Saint John IN 46373
indianalicensing.org
ID 5916239
LAST UPDATED 2026-04-21 12:01:56 UTC

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

Reviews

Are you familiar with Leslie Fair Stork's work? Add a comment below. You can write anonymously and without having to create an account.

0 Comments

Posting anonymously

Similar names
Trending