License holder summary

Harry Dean Shull, Jr. is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Harry Dean Shull, Jr. is Madison Center, 403 E. Madison Street, South Bend IN 46617. This licensed professional license is current. The license was granted 03/24/2010 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Harry Dean Shull, Jr.
Controlled Substance Registration - Physician
License number
01020517B
Date granted
03/24/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Madison Center, 403 E. Madison Street, South Bend IN 46617
indianalicensing.org
ID 5921071
LAST UPDATED 2024-03-31 05:23:00 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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