License holder summary

EDWARD S SHELLEY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EDWARD S SHELLEY is 3122 EAST JEFFERSON BOULEVARD, SOUTH BEND IN 46615. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

EDWARD S SHELLEY
Controlled Substance Registration - Physician
License number
01014693B
Date granted
01/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3122 EAST JEFFERSON BOULEVARD, SOUTH BEND IN 46615
indianalicensing.org
ID 5920871
LAST UPDATED 2024-04-23 21:00:09 UTC

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