License holder summary

Shayne Michael Small is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shayne Michael Small is Indiana Internal Medicine, 701 E. County Line Road, Suite 101, Greenwood IN 46143. This licensed professional license is current. The license was granted 04/25/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Shayne Michael Small
Controlled Substance Registration - Physician
License number
01062018B
Date granted
04/25/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana Internal Medicine, 701 E. County Line Road, Suite 101, Greenwood IN 46143
indianalicensing.org
ID 5862564
LAST UPDATED 2024-02-29 22:47:20 UTC

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