License holder summary

KENNETA JEAN SHAFFER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KENNETA JEAN SHAFFER is 30 SOUTH WASHINGTON STREET, P O BOX 298, Spencer IN 47460. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

KENNETA JEAN SHAFFER
Controlled Substance Registration - Physician
License number
01020626B
Date granted
01/31/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
30 SOUTH WASHINGTON STREET, P O BOX 298, Spencer IN 47460
indianalicensing.org
ID 5922819
LAST UPDATED 2026-04-10 14:42:52 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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