Shane David Bush
Controlled Substance Registration - Physician
Indiana 01071914B Active
This Indiana license is held by Shane David Bush. The license is currently active. It was granted on 04/08/2013 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01071914B
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/08/2013 (about 13 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
Porter Medical Group, 3630 Willowcreek Rd., Portage IN 46368
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