License holder summary

PETER LURTON SHIDELER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for PETER LURTON SHIDELER is 3035 WEST STATE ROAD 10, NORTH JUDSON IN 46366. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

PETER LURTON SHIDELER
Controlled Substance Registration - Dentist
License number
12005946B
Date granted
01/31/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3035 WEST STATE ROAD 10, NORTH JUDSON IN 46366
indianalicensing.org
ID 5116984
LAST UPDATED 2024-04-06 10:00:28 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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