Indiana
Professional Licensing Agency
Shane A. Avery
Controlled Substance Registration - Physician
License number
01045558B
Date granted
09/06/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Scottsburg Family Healthcare, 1465 North Gardner P O Box 290, Scottsburg IN 47170
indianalicensing.org
ID 5918051
LAST UPDATED 2024-04-18 11:58:05 UTC
LAST UPDATED 2024-04-18 11:58:05 UTC
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