License holder summary

Krista E. Shackelford is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Krista E. Shackelford is Dermatology Physicians, Inc., Tipton Park Plaza, 360 - C Plaza Dr., Columbus IN 47201. This licensed professional license is not current. The license was granted 05/16/2006 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Krista E. Shackelford
Controlled Substance Registration - Physician
License number
01061838B
Date granted
05/16/2006
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Dermatology Physicians, Inc., Tipton Park Plaza, 360 - C Plaza Dr., Columbus IN 47201
indianalicensing.org
ID 5836669
LAST UPDATED 2024-03-20 19:22:00 UTC

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