Keith Nelson Shrum
Controlled Substance Registration - Dentist
Indiana 12008984B Expired
This Indiana license was held by Keith Nelson Shrum. The license is no longer active. It was granted on 11/25/1987 and expired on 03/01/1990
LICENSE DETAILS
- License Number: 12008984B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 11/25/1987 (over 37 years ago)
- Expiry Date: 03/01/1990 (over 35 years ago)
LOCATIONS
A Address
602 HOOSIER AVENUE, OOLITIC IN 47451