Indiana
Professional Licensing Agency
Stacia Lynn Groover Maltby
Controlled Substance Registration - Physician
License number
01051320B
Date granted
06/18/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Hendricks Family Medicine, 1411 South Green Street #130, Brownsburg IN 46112
indianalicensing.org
ID 5829055
LAST UPDATED 2024-04-09 15:18:21 UTC
LAST UPDATED 2024-04-09 15:18:21 UTC
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