Mark Duane Shafer
Controlled Substance Registration - Dentist
Indiana 12009526B Expired
This Indiana license was held by Mark Duane Shafer. The license is no longer active. It was granted on 10/26/1992 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12009526B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 10/26/1992 (over 32 years ago)
- Expiry Date: 03/01/2014 (over 11 years ago)
LOCATIONS
A Address
The Dental Center, 1005 East LaSalle Street, South Bend IN 46617