Indiana
Professional Licensing Agency
Steve K. Shields
Controlled Substance Registration - Dentist
License number
12007382B
Date granted
09/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
411 North Peru St., Cicero IN 46034
indianalicensing.org
ID 5086698
LAST UPDATED 2024-03-26 23:54:45 UTC
LAST UPDATED 2024-03-26 23:54:45 UTC
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