Indiana
Professional Licensing Agency
Janine Susott Sheppard
Controlled Substance Registration - Physician
License number
01032851B
Date granted
06/02/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6775 Barrington Place, Fishers IN 46038
indianalicensing.org
ID 5851870
LAST UPDATED 2024-04-27 10:31:17 UTC
LAST UPDATED 2024-04-27 10:31:17 UTC
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