License holder summary

Susan Mary Stack is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Susan Mary Stack is KDH Madison Pediatrics, 1373 E. State Road 62, Madison IN 47250. This licensed professional license is current. The license was granted 03/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Susan Mary Stack
Controlled Substance Registration - Physician
License number
01033162B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
KDH Madison Pediatrics, 1373 E. State Road 62, Madison IN 47250
indianalicensing.org
ID 5887432
LAST UPDATED 2024-01-20 11:50:11 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Susan Mary Stack's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending