Indiana
Professional Licensing Agency
Stafford Wallace Pile, Jr
Controlled Substance Registration - Physician
License number
01019917B
Date granted
12/31/1985
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5128 EAST STOP 11 ROAD #37, INDIANAPOLIS IN 46237
indianalicensing.org
ID 5870784
LAST UPDATED 2024-03-09 00:16:36 UTC
LAST UPDATED 2024-03-09 00:16:36 UTC
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