License holder summary

Patrick William Stack is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Patrick William Stack is KDH Madison Pediatrics, 1373 E. State Road 62, Madison IN 47250. This licensed professional license is current. The license was granted 03/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Patrick William Stack
Controlled Substance Registration - Physician
License number
01033161B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
KDH Madison Pediatrics, 1373 E. State Road 62, Madison IN 47250
indianalicensing.org
ID 5887111
LAST UPDATED 2024-04-01 21:35:11 UTC

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

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