RUSSELL LOWELL SHOEMAKER
Controlled Substance Registration-Osteopathic Physician
Indiana 02000539B Expired
This Indiana license was held by RUSSELL LOWELL SHOEMAKER. The license is no longer active. It was granted on 06/23/1976 and expired on 09/30/1984
LICENSE DETAILS
- License Number: 02000539B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/23/1976 (almost 49 years ago)
- Expiry Date: 09/30/1984 (over 40 years ago)
LOCATIONS
A Address
10055 COUNTY LINE ROAD, DEMOTTE IN 46310