Donald Edward Stork
Controlled Substance Registration-Osteopathic Physician
Indiana 02001336B Expired
This Indiana license was held by Donald Edward Stork. The license is no longer active. It was granted on 06/25/1992 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 02001336B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/25/1992 (almost 34 years ago)
- Expiry Date: 06/30/2009 (almost 17 years ago)
LOCATIONS
A Address
HAMMOND CLINIC, 7905 CALUMET AVENUE, MUNSTER IN 46321