Indiana
Professional Licensing Agency
Luke William Staley
Controlled Substance Registration - Dentist
License number
12009784B
Date granted
07/17/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3528 East Wabash, Terre Haute IN 47803
indianalicensing.org
ID 5125076
LAST UPDATED 2024-03-14 23:58:45 UTC
LAST UPDATED 2024-03-14 23:58:45 UTC
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