Indiana
Professional Licensing Agency
Shawn Evan Kidder
Controlled Substance Registration-Osteopathic Physician
License number
02001281B
Date granted
03/26/1996
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
1314 East 7th Street, Suite 103, Auburn IN 46706
indianalicensing.org
ID 5794891
LAST UPDATED 2024-04-01 20:31:01 UTC
LAST UPDATED 2024-04-01 20:31:01 UTC
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