Indiana
Professional Licensing Agency
Terry L. Shipe
Controlled Substance Registration - Physician
License number
01029019B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
306 East Maumee, Angola IN 46703
indianalicensing.org
ID 5818808
LAST UPDATED 2024-03-25 16:27:55 UTC
LAST UPDATED 2024-03-25 16:27:55 UTC
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