Indiana
Professional Licensing Agency
Andrea Michelle Shirey
Controlled Substance Registration - Physician
License number
01048892B
Date granted
07/06/1998
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Med One of St. Joseph, 5111 Clinton Drive, Kokomo IN 46902
indianalicensing.org
ID 5875570
LAST UPDATED 2024-03-22 08:26:51 UTC
LAST UPDATED 2024-03-22 08:26:51 UTC
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