License holder summary

Shannon Elisa Wood is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Shannon Elisa Wood is 517 East 5th Street, Huntingburg IN 47542. This licensed professional license is current. The license was granted 07/15/1996 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Shannon Elisa Wood
Controlled Substance Registration - Dentist
License number
12009892B
Date granted
07/15/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
517 East 5th Street, Huntingburg IN 47542
indianalicensing.org
ID 5101337
LAST UPDATED 2024-02-10 20:31:28 UTC

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