SHANE ARTHUR BAKER
Controlled Substance Registration - Physician
Indiana 01051615B Expired
This Indiana license was held by SHANE ARTHUR BAKER. The license is no longer active. It was granted on 11/01/1999 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01051615B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/01/1999 (over 25 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
520 South Seventh St, Vincennes IN 47591