Richard D. Stackert
Controlled Substance Registration - Dentist
Indiana 12006988B Active
This Indiana license is held by Richard D. Stackert. The license is currently active. It was granted on 01/31/1986 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12006988B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 01/31/1986 (over 39 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
506 East Evans Avenue, Valparaiso IN 46383
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