Indiana
Professional Licensing Agency
JOHN ORTON SHAW
Controlled Substance Registration - Physician
License number
01037126B
Date granted
04/15/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAMILY PRACTICE CLINIC BLOOMFIELD, 127 E INDIANA AVENUE, BLOOMFIELD IN 47424
indianalicensing.org
ID 5823623
LAST UPDATED 2026-05-25 23:04:53 UTC
LAST UPDATED 2026-05-25 23:04:53 UTC
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