License holder summary

Kristine Louise Shackleton is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kristine Louise Shackleton is COMMUNITY HOSPITAL, 412 NORTH MONROE STREET, WILLIAMSPORT IN 47993. This licensed professional license is not current. The license was granted 08/29/1995 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Kristine Louise Shackleton
Controlled Substance Registration - Physician
License number
01043842B
Date granted
08/29/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY HOSPITAL, 412 NORTH MONROE STREET, WILLIAMSPORT IN 47993
indianalicensing.org
ID 5935479
LAST UPDATED 2024-04-27 09:47:48 UTC

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