License holder summary

Stacey Ann Shore is a Controlled Substance Registration - Veterinarian licensed to practice in Indiana. The address on file for Stacey Ann Shore is 4139 Eagle Lake Drive, Indianapolis IN 46254-3263. This licensed professional license is not current. The license was granted 06/26/1989 and expired on 10/15/2005.

Indiana

Professional Licensing Agency

Stacey Ann Shore
Controlled Substance Registration - Veterinarian
License number
24004886B
Date granted
06/26/1989
Date expires
10/15/2005
Class
Controlled Substance Registration - Veterinarian
Status
Expired
Address
4139 Eagle Lake Drive, Indianapolis IN 46254-3263
indianalicensing.org
ID 8640518
LAST UPDATED 2026-04-25 17:03:46 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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