KENNETH M STALLINGS

Controlled Substance Registration - Physician

Indiana  01032929B   Expired

This Indiana license was held by KENNETH M STALLINGS. The license is no longer active. It was granted on 09/30/1985 and expired on 09/30/1985

LICENSE DETAILS

  • License Number: 01032929B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 09/30/1985 (over 40 years ago)
  • Expiry Date: 09/30/1985 (over 40 years ago)

LOCATIONS

A Address

436 25TH STREET, GARY IN IN 46407