Indiana
Professional Licensing Agency
Robert Dale Shirley, III
Controlled Substance Registration - Dentist
License number
12011648B
Date granted
06/14/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Family Dental Centre, 602 Hoosier Avenue, Oolitic IN 47451
indianalicensing.org
ID 5117426
LAST UPDATED 2024-04-10 23:30:49 UTC
LAST UPDATED 2024-04-10 23:30:49 UTC
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