License holder summary

Shivonne NaCole Suttles is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shivonne NaCole Suttles is Healthnet Southeast Health & Dental Ctr., 901 Shelby St., Cedar Lake IN 46303. This licensed professional license is current. The license was granted 06/28/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Shivonne NaCole Suttles
Controlled Substance Registration - Physician
License number
01070842B
Date granted
06/28/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Healthnet Southeast Health & Dental Ctr., 901 Shelby St., Cedar Lake IN 46303
indianalicensing.org
ID 5832626
LAST UPDATED 2024-04-28 19:03:29 UTC

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