EUGENE GILBERT SHEPPARD
Controlled Substance Registration - Dentist
Indiana 12004792B Expired
This Indiana license was held by EUGENE GILBERT SHEPPARD. The license is no longer active. It was granted on 01/31/1984 and expired on 03/01/1992
LICENSE DETAILS
- License Number: 12004792B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 01/31/1984 (over 41 years ago)
- Expiry Date: 03/01/1992 (over 33 years ago)
LOCATIONS
A Address
303 E COLUMBIA, SOUTH WHITLEY IN 46787