Indiana
Professional Licensing Agency
RUSSELL LOWELL SHOEMAKER
Controlled Substance Registration-Osteopathic Physician
License number
02000539B
Date granted
06/23/1976
Date expires
09/30/1984
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
10055 COUNTY LINE ROAD, DEMOTTE IN 46310
indianalicensing.org
ID 5798157
LAST UPDATED 2024-03-12 11:06:36 UTC
LAST UPDATED 2024-03-12 11:06:36 UTC
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