License holder summary

STEPHEN THOMAS SHAW is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for STEPHEN THOMAS SHAW is ST MARGARET MERCY, ATTN MARY POPPAS 5454 HOHMAN AVENUE, Hammond IN 46320. This licensed professional license is not current. The license was granted 06/12/2000 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

STEPHEN THOMAS SHAW
Controlled Substance Registration - Physician
License number
01052495B
Date granted
06/12/2000
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARGARET MERCY, ATTN MARY POPPAS 5454 HOHMAN AVENUE, Hammond IN 46320
indianalicensing.org
ID 5865452
LAST UPDATED 2024-02-03 14:01:33 UTC

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