Indiana
Professional Licensing Agency
Russell Alexander Shatford
Controlled Substance Registration - Physician
License number
01047668B
Date granted
09/25/1997
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
attn: Joyce Strothman, 3605 Northgate Rd, Ste 101, New Albany IN 47150
indianalicensing.org
ID 5903714
LAST UPDATED 2024-05-03 15:57:15 UTC
LAST UPDATED 2024-05-03 15:57:15 UTC
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