HEIDI ELIZABETH SHIELDS
Controlled Substance Registration - Physician
Indiana 01040530B Expired
This Indiana license was held by HEIDI ELIZABETH SHIELDS. The license is no longer active. It was granted on 07/01/1992 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01040530B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/01/1992 (about 34 years ago)
- Expiry Date: 06/30/1997 (about 29 years ago)
LOCATIONS
A Address
1664 WEST SMITH VALLEY ROAD, GREENWOOD IN 46142