Chad J. Shaw
Controlled Substance Registration - Dentist
Indiana 12010465B Active
This Indiana license is held by Chad J. Shaw. The license is currently active. It was granted on 11/25/2002 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010465B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 11/25/2002 (almost 24 years ago)
- Expiry Date: 03/01/2016 (over 10 years ago)
LOCATIONS
A Address
Family Dental Care, 1409 N. Michigan St., Plymouth IN 46563
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