Indiana
Professional Licensing Agency
Stacey Elean Parks
Controlled Substance Registration - Physician
License number
01069028B
Date granted
12/07/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Margaret Mercy Hospital, 24 Joliet Street, Dyer IN 46311-1705
indianalicensing.org
ID 5844717
LAST UPDATED 2026-04-17 15:53:27 UTC
LAST UPDATED 2026-04-17 15:53:27 UTC
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