Lisa Shideler
Controlled Substance Registration - Dentist
Indiana 12009350B Active
This Indiana license is held by Lisa Shideler. The license is currently active. It was granted on 07/29/1991 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009350B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 07/29/1991 (almost 34 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
951 Southpoint Dr. Ste. A, Valparaiso IN 46385
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