License holder summary

Randy Allen Stauffer is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Randy Allen Stauffer is 920 East Mishawaka Road, Elkhart IN 46517. This licensed professional license is current. The license was granted 07/17/1995 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Randy Allen Stauffer
Controlled Substance Registration - Dentist
License number
12009786B
Date granted
07/17/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
920 East Mishawaka Road, Elkhart IN 46517
indianalicensing.org
ID 5090916
LAST UPDATED 2024-04-04 01:59:13 UTC

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