License holder summary

ANDREW WILLIAM O SHAUGHNESSY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ANDREW WILLIAM O SHAUGHNESSY is Nephrology Associate of Northern Indiana, 7836 WEST JEFFERSON BLVD, STE 101, FORT WAYNE IN 46804. This licensed professional license is current. The license was granted 04/02/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

ANDREW WILLIAM O SHAUGHNESSY
Controlled Substance Registration - Physician
License number
01040936B
Date granted
04/02/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Nephrology Associate of Northern Indiana, 7836 WEST JEFFERSON BLVD, STE 101, FORT WAYNE IN 46804
indianalicensing.org
ID 5852933
LAST UPDATED 2024-03-09 07:01:30 UTC

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