License holder summary

HENRY R SHALLENBERGER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for HENRY R SHALLENBERGER is MAIN STREET, MODOC IN 47358. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

HENRY R SHALLENBERGER
Controlled Substance Registration - Physician
License number
01013308B
Date granted
01/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MAIN STREET, MODOC IN 47358
indianalicensing.org
ID 5896301
LAST UPDATED 2024-03-23 03:40:08 UTC

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