License holder summary

Stacie Lynne Grossfeld is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Stacie Lynne Grossfeld is Medicial Center of Southern IN, Attn: Lisa Merchant, 2200 MARKET ST, CHARLESTOWN IN 47111. This licensed professional license is not current. The license was granted 01/27/2000 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Stacie Lynne Grossfeld
Controlled Substance Registration - Physician
License number
01052040B
Date granted
01/27/2000
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Medicial Center of Southern IN, Attn: Lisa Merchant, 2200 MARKET ST, CHARLESTOWN IN 47111
indianalicensing.org
ID 5833385
LAST UPDATED 2024-04-27 18:27:52 UTC

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