License holder summary

Russell Alexander Shatford is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Russell Alexander Shatford is attn: Joyce Strothman, 3605 Northgate Rd, Ste 101, New Albany IN 47150. This licensed professional license is not current. The license was granted 09/25/1997 and expired on 06/30/2005.

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

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