License holder summary

Stacey Lynn Graden is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Stacey Lynn Graden is 1160 East Lewis and Clark Pkwy, Clarksville IN 47129-7735. This licensed professional license is not current. The license was granted 04/15/2008 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Stacey Lynn Graden
Controlled Substance Registration - Dentist
License number
12011122B
Date granted
04/15/2008
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1160 East Lewis and Clark Pkwy, Clarksville IN 47129-7735
indianalicensing.org
ID 5087166
LAST UPDATED 2024-01-11 04:54:04 UTC

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