Kenneth Abraham Shaver
Controlled Substance Registration - Physician
Indiana 01033608B Active
This Indiana license is held by Kenneth Abraham Shaver. The license is currently active. It was granted on 09/30/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01033608B
- Category: CSR-Physician
- Status: Active
- Date Granted: 09/30/1986 (over 38 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
1601 Medical Arts Blvd, Suite 100, Anderson IN 46011
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