Indiana
Professional Licensing Agency
William Stanley Clark
Controlled Substance Registration-Osteopathic Physician
License number
02002521B
Date granted
07/16/2002
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St. Margaret Mercy North Hospital, Attn:Emergency Department, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5803090
LAST UPDATED 2024-03-06 11:14:31 UTC
LAST UPDATED 2024-03-06 11:14:31 UTC
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