Indiana
Professional Licensing Agency
Shanna Bowman
Controlled Substance Registration - Physician
License number
01055904B
Date granted
06/13/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Francis Medical Group County Line Pediatrics, 747 E. county Line Rd., Suite G, Greenwood IN 46143
indianalicensing.org
ID 5862539
LAST UPDATED 2024-02-23 03:16:19 UTC
LAST UPDATED 2024-02-23 03:16:19 UTC
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