License holder summary

Wallace A. Shellenberger is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Wallace A. Shellenberger is CRAWFORD MEDICAL CLINIC, ENGLISH IN, ENGLISH IN 47118. This licensed professional license is not current. The license was granted 09/02/1964 and expired on 01/31/1984.

Indiana

Professional Licensing Agency

Wallace A. Shellenberger
Controlled Substance Registration - Physician
License number
01020515C
Date granted
09/02/1964
Date expires
01/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CRAWFORD MEDICAL CLINIC, ENGLISH IN, ENGLISH IN 47118
indianalicensing.org
ID 5849219
LAST UPDATED 2024-02-05 03:28:28 UTC

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