License holder summary

SHELBY SCOTT COOPER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SHELBY SCOTT COOPER is 419 WEST 1ST STREET, BLOOMINGTON IN 47403. This licensed professional license is not current. The license was granted 03/18/1997 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

SHELBY SCOTT COOPER
Controlled Substance Registration - Physician
License number
01046266B
Date granted
03/18/1997
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
419 WEST 1ST STREET, BLOOMINGTON IN 47403
indianalicensing.org
ID 5825799
LAST UPDATED 2024-03-19 04:57:27 UTC

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