Michael Jack Shaenboen
Controlled Substance Registration-Osteopathic Physician
Indiana 02002136B Expired
This Indiana license was held by Michael Jack Shaenboen. The license is no longer active. It was granted on 12/28/1999 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 02002136B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 12/28/1999 (over 25 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
801 MAC ARTHUR BOULEVARD, SUITE 404, Munster IN 46321