Indiana
Professional Licensing Agency
Michael Jack Shaenboen
Controlled Substance Registration-Osteopathic Physician
License number
02002136B
Date granted
12/28/1999
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
801 MAC ARTHUR BOULEVARD, SUITE 404, Munster IN 46321
indianalicensing.org
ID 5810106
LAST UPDATED 2024-05-02 11:13:29 UTC
LAST UPDATED 2024-05-02 11:13:29 UTC
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