Lori Jean Stack
Physician
Indiana 01048695A Expired Non-Renewable
This Indiana license was held by Lori Jean Stack. The license is no longer active. It was granted on 05/28/1998 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01048695A
- Category: Physician
- Status: Expired Non-Renewable
- Date Granted: 05/28/1998 (almost 27 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
Milton MA 02186