Indiana
Professional Licensing Agency
JAMES AARON SHUPE SR
Controlled Substance Registration - Dentist
License number
12005947B
Date granted
01/31/1986
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3030 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 5094886
LAST UPDATED 2024-05-03 17:17:13 UTC
LAST UPDATED 2024-05-03 17:17:13 UTC
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