Indiana
Professional Licensing Agency
DAVID SHAFFER DARR
Controlled Substance Registration - Physician
License number
01046892B
Date granted
06/26/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PROVIDENT FAMILY HEALTHCARE, 1210 PROVIDENT DRIVE, WARSAW IN 46580
indianalicensing.org
ID 5932461
LAST UPDATED 2024-02-24 17:10:49 UTC
LAST UPDATED 2024-02-24 17:10:49 UTC
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