John Jacob Shank
Controlled Substance Registration - Dentist
Indiana 12009584B Expired
This Indiana license was held by John Jacob Shank. The license is no longer active. It was granted on 10/13/1993 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12009584B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 10/13/1993 (over 31 years ago)
- Expiry Date: 03/01/2012 (over 13 years ago)
LOCATIONS
A Address
2121 East Dupont Road, Suite C, Fort Wayne IN 46825