Indiana
Professional Licensing Agency
WILLIAM A STARK
Controlled Substance Registration - Physician
License number
01020218B
Date granted
01/31/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2821 ELBRIDGE WAY, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893937
LAST UPDATED 2024-04-16 12:39:58 UTC
LAST UPDATED 2024-04-16 12:39:58 UTC
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