License holder summary

Shannon K. Bader is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shannon K. Bader is 8550 Broadway, Merrillville IN 46410. This licensed professional license is not current. The license was granted 11/30/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Shannon K. Bader
Controlled Substance Registration - Physician
License number
01031401B
Date granted
11/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8550 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5891629
LAST UPDATED 2024-03-16 06:55:16 UTC

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