License holder summary

Shana Marie Walton is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shana Marie Walton is Howard Regional Health, 3500 S Lafountain Street c/o Cassie Potter, Kokomo IN 46904. This licensed professional license is current. The license was granted 06/26/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Shana Marie Walton
Controlled Substance Registration - Physician
License number
01066872B
Date granted
06/26/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Howard Regional Health, 3500 S Lafountain Street c/o Cassie Potter, Kokomo IN 46904
indianalicensing.org
ID 5877097
LAST UPDATED 2024-04-23 16:47:48 UTC

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