License holder summary

Shawn Ray Long is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Shawn Ray Long is 53177 PRESTWICK COURT, Granger IN 46530. This licensed professional license is not current. The license was granted 05/01/1997 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Shawn Ray Long
Controlled Substance Registration - Dentist
License number
12009672B
Date granted
05/01/1997
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
53177 PRESTWICK COURT, Granger IN 46530
indianalicensing.org
ID 5098499
LAST UPDATED 2024-03-28 15:55:42 UTC

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