Indiana
Professional Licensing Agency
Lori Lynn Shattuck
Controlled Substance Registration - Dentist
License number
12010537B
Date granted
06/02/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Franklin Family Dentistry, 1035 West Jefferson Street, Franklin IN 46131
indianalicensing.org
ID 5097060
LAST UPDATED 2024-03-04 00:07:07 UTC
LAST UPDATED 2024-03-04 00:07:07 UTC
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