Indiana
Professional Licensing Agency
Ann Catherine Shackelford
Controlled Substance Registration - Dentist
License number
12010096C
Date granted
02/16/1999
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
COMFORT DENTAL OF ANDERSON, 820 EAST 53RD STREET, Anderson IN 46013
indianalicensing.org
ID 5080498
LAST UPDATED 2024-02-19 01:35:03 UTC
LAST UPDATED 2024-02-19 01:35:03 UTC
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