License holder summary

William Lee Shaffer is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for William Lee Shaffer is 1340 West State Blvd., Fort Wayne IN 46808-3106. This licensed professional license is not current. The license was granted 09/09/2005 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

William Lee Shaffer
Controlled Substance Registration - Dentist
License number
12005581C
Date granted
09/09/2005
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1340 West State Blvd., Fort Wayne IN 46808-3106
indianalicensing.org
ID 5096500
LAST UPDATED 2024-02-29 11:48:14 UTC

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