License holder summary

Sharonda Alisha Shaw-Berrocal is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Sharonda Alisha Shaw-Berrocal is Fort Wayne Medical Education Program, 750 Broadway Suite 250, Fort Wayne IN 46802-1412. This licensed professional license is current. The license was granted 07/01/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Sharonda Alisha Shaw-Berrocal
Controlled Substance Registration-Osteopathic Physician
License number
02003385B
Date granted
07/01/2008
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Fort Wayne Medical Education Program, 750 Broadway Suite 250, Fort Wayne IN 46802-1412
indianalicensing.org
ID 5800833
LAST UPDATED 2024-03-06 13:30:03 UTC

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