BERNARD KINGSLEY STUART
Controlled Substance Registration - Dentist
Indiana 12005343B Expired
This Indiana license was held by BERNARD KINGSLEY STUART. The license is no longer active. It was granted on 01/31/1986 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12005343B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 01/31/1986 (over 38 years ago)
- Expiry Date: 03/01/2002 (about 22 years ago)
LOCATIONS
A Address
6615 MONARCH DRIVE, FORT WAYNE IN 46815