John Levi Shively
Controlled Substance Registration - Physician
Indiana 01015281B Expired
This Indiana license was held by John Levi Shively. The license is no longer active. It was granted on 01/31/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01015281B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1986 (over 40 years ago)
- Expiry Date: 06/30/2003 (about 23 years ago)
LOCATIONS
A Address
LAFAYETTE ORTHOPAEDIC CLINIC INC, 1411 S CREASY LANE STE 200 PO BOX 4699, Lafayette IN 47903-4699