Indiana
Professional Licensing Agency
Derek James Sharvelle
Controlled Substance Registration - Physician
License number
01020187B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lafayette Eye Center, PO Box 6477 3746 Rome Drive, Lafayette IN 47903
indianalicensing.org
ID 5879255
LAST UPDATED 2024-03-17 06:56:05 UTC
LAST UPDATED 2024-03-17 06:56:05 UTC
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