License holder summary

Shannelle Susanne Rico is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shannelle Susanne Rico is Brookville Immediate Care, 11137 US 52 Attn: Kay Pflum, Brookville IN 47012. This licensed professional license is current. The license was granted 06/08/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Shannelle Susanne Rico
Controlled Substance Registration - Physician
License number
01050363B
Date granted
06/08/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Brookville Immediate Care, 11137 US 52 Attn: Kay Pflum, Brookville IN 47012
indianalicensing.org
ID 5828348
LAST UPDATED 2024-03-02 20:14:08 UTC

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