ALAN STACK - Podiatrist License in Indiana | # 016003037

ALAN STACK

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003037

License Status

INACTIVE

Business

N

First Name

ALAN

Last Name

STACK

Business Name

ALAN STACK

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

01/31/1985

State

IN

Ever Disciplined

N

LastModifiedDate

09/25/2006