Indiana
Professional Licensing Agency
Elaine Lois Shafer
Controlled Substance Registration - Physician
License number
01042902B
Date granted
07/28/1994
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Elkhart General Hospital - Attn:Physician Services, 600 East Blvd, Elkhart IN 46514
indianalicensing.org
ID 5847103
LAST UPDATED 2024-04-28 04:02:50 UTC
LAST UPDATED 2024-04-28 04:02:50 UTC
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