STACEY J CLARKE
Controlled Substance Registration - Podiatrist
Indiana 07000790B Expired
This Indiana license was held by STACEY J CLARKE. The license is no longer active. It was granted on 07/20/1994 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 07000790B
- Category: CSR-Podiatrist
- Status: Expired
- Date Granted: 07/20/1994 (almost 31 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
CAYLOR NICKEL MEDICAL CENTER, ONE CAYLOR NICKEL SQUARE, BLUFFTON IN 46714