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 2024-02-17 15:44:23 UTC
LAST UPDATED 2024-02-17 15:44:23 UTC
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