License holder summary

Brian D. Shields is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brian D. Shields is 520 8th Avenue North East, PO Box 790, Demotte IN 46310. This licensed professional license is current. The license was granted 11/13/1996 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Brian D. Shields
Controlled Substance Registration - Dentist
License number
12009921B
Date granted
11/13/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
520 8th Avenue North East, PO Box 790, Demotte IN 46310
indianalicensing.org
ID 5089597
LAST UPDATED 2024-04-05 22:41:11 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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