License holder summary

ROBERT GOULD STANLEY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ROBERT GOULD STANLEY is 3610 BROOKLYN AVENUE, FORT WAYNE IN 46809. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

ROBERT GOULD STANLEY
Controlled Substance Registration - Physician
License number
01017497B
Date granted
01/31/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3610 BROOKLYN AVENUE, FORT WAYNE IN 46809
indianalicensing.org
ID 5854397
LAST UPDATED 2026-04-08 04:56:13 UTC

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