Indiana
Professional Licensing Agency
Michael A. Shirley
Controlled Substance Registration - Physician
License number
01027570B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
821 NORTH DIXON ROAD, KOKOMO IN 46901
indianalicensing.org
ID 5876661
LAST UPDATED 2024-03-27 17:19:47 UTC
LAST UPDATED 2024-03-27 17:19:47 UTC
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