Indiana
Professional Licensing Agency
Chad J. Shaw
Controlled Substance Registration - Dentist
License number
12010465C
Date granted
12/10/2002
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
COMFORT DENTAL OF KOKOMO, 2910 S REED ROAD, Kokomo IN 46902
indianalicensing.org
ID 5106224
LAST UPDATED 2024-03-26 07:01:41 UTC
LAST UPDATED 2024-03-26 07:01:41 UTC
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