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
LAST UPDATED 2024-04-04 01:59:13 UTC
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