License holder summary

Thomas Richard Shoemaker is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Thomas Richard Shoemaker is 2130 PEMBERTON DRIVE, Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Thomas Richard Shoemaker
Controlled Substance Registration - Dentist
License number
12008284B
Date granted
08/31/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2130 PEMBERTON DRIVE, Fort Wayne IN 46805
indianalicensing.org
ID 5096176
LAST UPDATED 2024-02-21 18:11:23 UTC

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