John Shively
Controlled Substance Registration - Physician
Indiana 01032390B Active
This Indiana license is held by John Shively. The license is currently active. It was granted on 07/31/1997 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01032390B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/31/1997 (about 29 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
3701 S.R. 26 East, Lafayette IN 47905
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