Shayne Michael Small
Controlled Substance Registration - Physician
Indiana 01062018B Active
This Indiana license is held by Shayne Michael Small. The license is currently active. It was granted on 04/25/2006 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01062018B
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/25/2006 (about 19 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Indiana Internal Medicine, 701 E. County Line Road, Suite 101, Greenwood IN 46143
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