Indiana
Professional Licensing Agency
Christine Marie Shock
Controlled Substance Registration - Physician
License number
01065503B
Date granted
05/13/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Vincent Medical Group, 330 West Deerfield Road, Union City IN 47390
indianalicensing.org
ID 5927618
LAST UPDATED 2024-03-06 12:28:07 UTC
LAST UPDATED 2024-03-06 12:28:07 UTC
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