Indiana
Professional Licensing Agency
Shannon Lorane Thompson
Controlled Substance Registration - Physician
License number
01056261B
Date granted
06/03/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
307 S. Berkley, Kokomo IN 46901
indianalicensing.org
ID 5877100
LAST UPDATED 2024-03-18 10:46:59 UTC
LAST UPDATED 2024-03-18 10:46:59 UTC
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