Indiana
Professional Licensing Agency
Philippa ME Shedd
Controlled Substance Registration - Physician
License number
01051048B
Date granted
11/12/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3201 Middle Road, Columbus IN 47201
indianalicensing.org
ID 5836946
LAST UPDATED 2024-03-12 18:19:14 UTC
LAST UPDATED 2024-03-12 18:19:14 UTC
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