Stacey Ann Shore
Controlled Substance Registration - Veterinarian
Indiana 24004886B Expired
This Indiana license was held by Stacey Ann Shore. The license is no longer active. It was granted on 06/26/1989 and expired on 10/15/2005
LICENSE DETAILS
- License Number: 24004886B
- Category: CSR-Veterinarian
- Status: Expired
- Date Granted: 06/26/1989 (about 35 years ago)
- Expiry Date: 10/15/2005 (over 18 years ago)
LOCATIONS
A Address
4139 Eagle Lake Drive, Indianapolis IN 46254-3263