Indiana
Professional Licensing Agency
Clifford James Shultz
Controlled Substance Registration - Physician
License number
01019249B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2616 Covington Pointe Trail, Fort Wayne IN 46804
indianalicensing.org
ID 5853110
LAST UPDATED 2024-03-25 15:48:20 UTC
LAST UPDATED 2024-03-25 15:48:20 UTC
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