License holder summary

JACK E SHIELDS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JACK E SHIELDS is 603 W SPRING STREET, BROWNSTOWN IN 47220. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

JACK E SHIELDS
Controlled Substance Registration - Physician
License number
01012841B
Date granted
01/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
603 W SPRING STREET, BROWNSTOWN IN 47220
indianalicensing.org
ID 5829084
LAST UPDATED 2024-02-11 18:11:26 UTC

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