Indiana
Professional Licensing Agency
Laurence Marion DeShields, III
Controlled Substance Registration - Physician
License number
01063430B
Date granted
10/03/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Elkhart General Hospital, 600 East Boulevard, Elkhart IN 46514
indianalicensing.org
ID 5847753
LAST UPDATED 2024-12-25 11:52:56 UTC
LAST UPDATED 2024-12-25 11:52:56 UTC
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