JERRY EDWARD SHEWARD

Controlled Substance Registration - Physician

Indiana  01032845B   Active

This Indiana license is held by JERRY EDWARD SHEWARD. The license is currently active. It was granted on 10/31/1984 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01032845B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 10/31/1984 (over 40 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

BehaviorCorp, 697 Pro Med Lane, Carmel IN 46032