License holder summary

HEIDI ELIZABETH SHIELDS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for HEIDI ELIZABETH SHIELDS is 1664 WEST SMITH VALLEY ROAD, GREENWOOD IN 46142. This licensed professional license is not current. The license was granted 07/01/1992 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

HEIDI ELIZABETH SHIELDS
Controlled Substance Registration - Physician
License number
01040530B
Date granted
07/01/1992
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1664 WEST SMITH VALLEY ROAD, GREENWOOD IN 46142
indianalicensing.org
ID 5861827
LAST UPDATED 2024-02-10 04:13:48 UTC

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