License holder summary

Keith Nelson Shrum is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Keith Nelson Shrum is 602 HOOSIER AVENUE, OOLITIC IN 47451. This licensed professional license is not current. The license was granted 11/25/1987 and expired on 03/01/1990.

Indiana

Professional Licensing Agency

Keith Nelson Shrum
Controlled Substance Registration - Dentist
License number
12008984B
Date granted
11/25/1987
Date expires
03/01/1990
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
602 HOOSIER AVENUE, OOLITIC IN 47451
indianalicensing.org
ID 5117445
LAST UPDATED 2024-03-09 01:35:45 UTC

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