License holder summary

URBAN F D STORK is a Physician licensed to practice in Indiana. The address on file for URBAN F D STORK is WAVELAND MS 39576. This licensed professional license is not current. The license was granted 08/08/1930 and expired on 06/30/1984.

Indiana

Professional Licensing Agency

URBAN F D STORK
Physician
License number
01011123A
Date granted
08/08/1930
Date expires
06/30/1984
Class
Physician
Status
Expired Non-Renewable
Address
WAVELAND MS 39576
indianalicensing.org
ID 6110295
LAST UPDATED 2024-03-23 09:50:56 UTC

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