License holder summary

Carrie Lynn Shaffer is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Carrie Lynn Shaffer is 3800 St. Mary Drive Suite 102, Valparaiso IN 46383. This licensed professional license is current. The license was granted 05/24/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Carrie Lynn Shaffer
Controlled Substance Registration-Osteopathic Physician
License number
02002783B
Date granted
05/24/2004
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
3800 St. Mary Drive Suite 102, Valparaiso IN 46383
indianalicensing.org
ID 5814661
LAST UPDATED 2024-04-21 19:42:00 UTC

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