Indiana
Professional Licensing Agency
Nicolas M. Shelly
Controlled Substance Registration - Dentist
License number
12006758B
Date granted
02/28/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
201 North Riverside Drive, Elkhart IN 46514-2611
indianalicensing.org
ID 5090880
LAST UPDATED 2024-03-19 04:34:46 UTC
LAST UPDATED 2024-03-19 04:34:46 UTC
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