Indiana
Professional Licensing Agency
William C Stafford
Controlled Substance Registration - Physician
License number
01013417B
Date granted
01/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 97, 625 S EAST STREET, PLAINFIELD IN 46168
indianalicensing.org
ID 5910342
LAST UPDATED 2024-04-21 17:33:56 UTC
LAST UPDATED 2024-04-21 17:33:56 UTC
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