Indiana
Professional Licensing Agency
Jeffrey J. Shambaugh, D.M.D., P.C.
Dentistry Board - Dental Corporation
License number
54001477A
Date granted
08/23/2005
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
2212 Maplecrest Rd., Fort Wayne IN 46815
indianalicensing.org
ID 24744304
LAST UPDATED 2024-03-19 21:30:41 UTC
LAST UPDATED 2024-03-19 21:30:41 UTC
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