License holder summary

Shannon Rise` Poole is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shannon Rise` Poole is Saint Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 01/29/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Shannon Rise` Poole
Controlled Substance Registration - Physician
License number
01073547B
Date granted
01/29/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 27715013
LAST UPDATED 2024-02-20 15:54:37 UTC

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