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
LAST UPDATED 2024-04-21 19:42:00 UTC
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