License holder summary

COLLEEN MARIE SHAFFER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for COLLEEN MARIE SHAFFER is 202 WEST WHITLEY STREET, CHURUBUSCO IN 46723. This licensed professional license is not current. The license was granted 08/29/1995 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

COLLEEN MARIE SHAFFER
Controlled Substance Registration - Physician
License number
01044177B
Date granted
08/29/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
202 WEST WHITLEY STREET, CHURUBUSCO IN 46723
indianalicensing.org
ID 5834001
LAST UPDATED 2024-03-23 05:51:47 UTC

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