Chad J. Shaw
Controlled Substance Registration - Dentist
Indiana 12010465C Expired
This Indiana license was held by Chad J. Shaw. The license is no longer active. It was granted on 12/10/2002 and expired on 03/01/2008
LICENSE DETAILS
- License Number: 12010465C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 12/10/2002 (over 23 years ago)
- Expiry Date: 03/01/2008 (over 18 years ago)
LOCATIONS
A Address
COMFORT DENTAL OF KOKOMO, 2910 S REED ROAD, Kokomo IN 46902