License holder summary

Shauna Jean Funderburk is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Shauna Jean Funderburk is 7250 Clearvista Dr., Suite 120, Indianapolis IN 46256. This licensed professional license is current. The license was granted 03/01/2010 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Shauna Jean Funderburk
Controlled Substance Registration-Physician Assistant
License number
10000996B
Date granted
03/01/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
7250 Clearvista Dr., Suite 120, Indianapolis IN 46256
indianalicensing.org
ID 8387448
LAST UPDATED 2024-03-06 00:38:53 UTC

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