GARY DEAN SHIPLEY
Controlled Substance Registration - Physician
Indiana 01031550B Suspended
This Indiana license was held by GARY DEAN SHIPLEY. The license is no longer active. It was granted on 07/31/1986 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01031550B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 07/31/1986 (almost 39 years ago)
- Expiry Date: 06/30/1991 (almost 34 years ago)
LOCATIONS
A Address
3573 WEST LAKE SHORE DRIVE, CROWN POINT IN 46307