Indiana
Professional Licensing Agency
Maria L. Stamp
Controlled Substance Registration - Physician
License number
01068785B
Date granted
12/30/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Physician Services, 85 East US Highway 6, Valparaiso IN 46383
indianalicensing.org
ID 5929185
LAST UPDATED 2024-03-17 04:08:36 UTC
LAST UPDATED 2024-03-17 04:08:36 UTC
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