Krista E. Shackelford
Controlled Substance Registration - Physician
Indiana 01061838B Expired
This Indiana license was held by Krista E. Shackelford. The license is no longer active. It was granted on 05/16/2006 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01061838B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/16/2006 (about 19 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
Dermatology Physicians, Inc., Tipton Park Plaza, 360 - C Plaza Dr., Columbus IN 47201