Indiana
Professional Licensing Agency
Edwin Jay Shakun
Controlled Substance Registration - Physician
License number
01047025B
Date granted
07/22/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Immediate Care Center, 1001 N Madison Avenue, Greenwood IN 46142
indianalicensing.org
ID 5861681
LAST UPDATED 2024-04-13 01:42:39 UTC
LAST UPDATED 2024-04-13 01:42:39 UTC
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