Indiana
Professional Licensing Agency
GARY DEAN SHIPLEY
Controlled Substance Registration - Physician
License number
01031550B
Date granted
07/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
3573 WEST LAKE SHORE DRIVE, CROWN POINT IN 46307
indianalicensing.org
ID 5841062
LAST UPDATED 2024-04-25 19:46:06 UTC
LAST UPDATED 2024-04-25 19:46:06 UTC
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