Ann Catherine Shackelford
Controlled Substance Registration - Dentist
Indiana 12010096B Active
This Indiana license is held by Ann Catherine Shackelford. The license is currently active. It was granted on 11/19/1998 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010096B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 11/19/1998 (over 25 years ago)
- Expiry Date: 03/01/2016 (about 8 years ago)
LOCATIONS
A Address
Campus Family Dental, 409 S Dunn Street, Bloomington IN 47401
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