Elaine Lois Shafer
Controlled Substance Registration - Physician
Indiana 01042902B Expired
This Indiana license was held by Elaine Lois Shafer. The license is no longer active. It was granted on 07/28/1994 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01042902B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/28/1994 (about 32 years ago)
- Expiry Date: 06/30/2009 (about 17 years ago)
LOCATIONS
A Address
Elkhart General Hospital - Attn:Physician Services, 600 East Blvd, Elkhart IN 46514