Indiana
Professional Licensing Agency
John A. Shay
Controlled Substance Registration - Physician
License number
01039661B
Date granted
08/30/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana Back Center, 13450 North Meridian Suite 244, Carmel IN 46032
indianalicensing.org
ID 5830883
LAST UPDATED 2024-03-08 12:51:32 UTC
LAST UPDATED 2024-03-08 12:51:32 UTC
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