Indiana
Professional Licensing Agency
Richard K. Shelly
Controlled Substance Registration - Dentist
License number
12006645B
Date granted
01/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
303 Carter Road, Goshen IN 46526
indianalicensing.org
ID 5098034
LAST UPDATED 2024-03-16 03:22:46 UTC
LAST UPDATED 2024-03-16 03:22:46 UTC
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