License holder summary

Richard D. Stackert is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Richard D. Stackert is 506 East Evans Avenue, Valparaiso IN 46383. This licensed professional license is current. The license was granted 01/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Richard D. Stackert
Controlled Substance Registration - Dentist
License number
12006988B
Date granted
01/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
506 East Evans Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5126309
LAST UPDATED 2024-04-29 23:07:32 UTC

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