License holder summary

Lori Jean Stack is a Physician licensed to practice in Indiana. The address on file for Lori Jean Stack is Milton MA 02186. This licensed professional license is not current. The license was granted 05/28/1998 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Lori Jean Stack
Physician
License number
01048695A
Date granted
05/28/1998
Date expires
06/30/2009
Class
Physician
Status
Expired Non-Renewable
Address
Milton MA 02186
indianalicensing.org
ID 6078591
LAST UPDATED 2024-02-29 17:59:04 UTC

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