License holder summary

Stanley Andrew Young is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Stanley Andrew Young is 6038 EAST STATE BOULEVARD, FORT WAYNE IN 46815. This licensed professional license is current. The license was granted 07/25/1989 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Stanley Andrew Young
Controlled Substance Registration - Dentist
License number
12007190B
Date granted
07/25/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6038 EAST STATE BOULEVARD, FORT WAYNE IN 46815
indianalicensing.org
ID 5095939
LAST UPDATED 2024-03-11 23:22:31 UTC

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