License holder summary

John Gaylord Shank is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for John Gaylord Shank is 633 NORTH MAIN STREET, KENDALLVILLE IN 46755. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

John Gaylord Shank
Controlled Substance Registration - Dentist
License number
12006329B
Date granted
09/30/1986
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
633 NORTH MAIN STREET, KENDALLVILLE IN 46755
indianalicensing.org
ID 5105690
LAST UPDATED 2024-02-18 05:05:26 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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