ROBERT GOULD STANLEY
Controlled Substance Registration - Physician
Indiana 01017497B Expired
This Indiana license was held by ROBERT GOULD STANLEY. The license is no longer active. It was granted on 01/31/1986 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01017497B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1986 (over 38 years ago)
- Expiry Date: 06/30/1999 (almost 25 years ago)
LOCATIONS
A Address
3610 BROOKLYN AVENUE, FORT WAYNE IN 46809