License holder summary

James Aaron Shupe, Jr. is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for James Aaron Shupe, Jr. is 3030 Lake Avenue, Fort Wayne IN 46805. This licensed professional license is current. The license was granted 03/03/1988 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

James Aaron Shupe, Jr.
Controlled Substance Registration - Dentist
License number
12008822B
Date granted
03/03/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3030 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5094893
LAST UPDATED 2024-04-25 16:52:30 UTC

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