Indiana
Professional Licensing Agency
Mark Allen Shaffner
Controlled Substance Registration - Dentist
License number
12008035B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
815 W Euclid Ave, Marion IN 46952
indianalicensing.org
ID 5110177
LAST UPDATED 2024-03-09 19:30:24 UTC
LAST UPDATED 2024-03-09 19:30:24 UTC
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