License holder summary

Ann Catherine Shackelford is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Ann Catherine Shackelford is COMFORT DENTAL OF ANDERSON, 820 EAST 53RD STREET, Anderson IN 46013. This licensed professional license is not current. The license was granted 02/16/1999 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Ann Catherine Shackelford
Controlled Substance Registration - Dentist
License number
12010096C
Date granted
02/16/1999
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
COMFORT DENTAL OF ANDERSON, 820 EAST 53RD STREET, Anderson IN 46013
indianalicensing.org
ID 5080498
LAST UPDATED 2024-03-04 18:40:16 UTC

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