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
LAST UPDATED 2024-03-11 23:22:31 UTC
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