Indiana
Professional Licensing Agency
SHAWN MARY DELATER
Controlled Substance Registration - Physician
License number
01034979B
Date granted
07/11/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4321 FIRST, EAST CHICAGO IN 46312
indianalicensing.org
ID 5846149
LAST UPDATED 2026-04-14 03:03:20 UTC
LAST UPDATED 2026-04-14 03:03:20 UTC
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