License holder summary

WILLIAM RUSSELL SHIDELER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for WILLIAM RUSSELL SHIDELER is 8 NORTH GARFIELD, VALPARAISO IN 46383. This licensed professional license is not current. The license was granted 01/31/1984 and expired on 03/01/1992.

Indiana

Professional Licensing Agency

WILLIAM RUSSELL SHIDELER
Controlled Substance Registration - Dentist
License number
12005254B
Date granted
01/31/1984
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
8 NORTH GARFIELD, VALPARAISO IN 46383
indianalicensing.org
ID 5126467
LAST UPDATED 2024-02-22 07:20:45 UTC

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