License holder summary

Wayne Martin Shugoll is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Wayne Martin Shugoll is 911 North Shelby Street, Salem IN 47167. This licensed professional license is current. The license was granted 08/29/1990 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Wayne Martin Shugoll
Controlled Substance Registration - Physician
License number
01038751B
Date granted
08/29/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
911 North Shelby Street, Salem IN 47167
indianalicensing.org
ID 5916831
LAST UPDATED 2024-04-22 18:54:18 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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