RICHARD STACY EDWARDS

Controlled Substance Registration - Dentist

Indiana  12004737B   Expired

This Indiana license was held by RICHARD STACY EDWARDS. The license is no longer active. It was granted on 06/04/1985 and expired on 03/01/1990

LICENSE DETAILS

  • License Number: 12004737B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 06/04/1985 (about 40 years ago)
  • Expiry Date: 03/01/1990 (over 35 years ago)

LOCATIONS

A Address

MCKINLEY & WASHINGTON STREET, RENSSELAER IN 47978