License holder summary

Lisa Shideler is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lisa Shideler is 951 Southpoint Dr. Ste. A, Valparaiso IN 46385. This licensed professional license is current. The license was granted 07/29/1991 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Lisa Shideler
Controlled Substance Registration - Dentist
License number
12009350B
Date granted
07/29/1991
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
951 Southpoint Dr. Ste. A, Valparaiso IN 46385
indianalicensing.org
ID 5126129
LAST UPDATED 2024-04-20 07:21:34 UTC

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