License holder summary

DAVID ALEXANDER SHAW is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID ALEXANDER SHAW is David A. Shaw, 11001 West Bethel Avenue, Gaston IN 47342-9749. This licensed professional license is not current. The license was granted 06/24/1996 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

DAVID ALEXANDER SHAW
Controlled Substance Registration - Physician
License number
01036573B
Date granted
06/24/1996
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
David A. Shaw, 11001 West Bethel Avenue, Gaston IN 47342-9749
indianalicensing.org
ID 5857999
LAST UPDATED 2024-04-01 07:56:40 UTC

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