License holder summary

SHAWN MARY DELATER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SHAWN MARY DELATER is 4321 FIRST, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 07/11/1986 and expired on 06/30/1991.

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

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