Ann Catherine Shackelford
Controlled Substance Registration - Dentist
Indiana 12010096C Expired
This Indiana license was held by Ann Catherine Shackelford. The license is no longer active. It was granted on 02/16/1999 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12010096C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 02/16/1999 (about 26 years ago)
- Expiry Date: 03/01/2002 (about 23 years ago)
LOCATIONS
A Address
COMFORT DENTAL OF ANDERSON, 820 EAST 53RD STREET, Anderson IN 46013