Indiana
Professional Licensing Agency
Richard James Stork
Physician
License number
01040107A
Date granted
03/26/1992
Date expires
06/30/1993
Class
Physician
Status
Expired Non-Renewable
Address
SOMERSET NJ 08873
indianalicensing.org
ID 6100482
LAST UPDATED 2026-09-04 04:59:24 UTC
LAST UPDATED 2026-09-04 04:59:24 UTC
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