ANDREW WILLIAM O SHAUGHNESSY

Controlled Substance Registration - Physician

Indiana  01040936B   Active

This Indiana license is held by ANDREW WILLIAM O SHAUGHNESSY. The license is currently active. It was granted on 04/02/1993 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01040936B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/02/1993 (about 31 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Nephrology Associate of Northern Indiana, 7836 WEST JEFFERSON BLVD, STE 101, FORT WAYNE IN 46804