License holder summary

JOHN ORTON SHAW is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOHN ORTON SHAW is FAMILY PRACTICE CLINIC BLOOMFIELD, 127 E INDIANA AVENUE, BLOOMFIELD IN 47424. This licensed professional license is not current. The license was granted 04/15/1993 and expired on 06/30/1995.

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 2024-05-12 17:04:01 UTC

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