Tavis M. Shaw
Controlled Substance Registration-Osteopathic Physician
Indiana 02003988C Active
This Indiana license is held by Tavis M. Shaw. The license is currently active. It was granted on 06/20/2014 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 02003988C
- Category: CSR-Osteopathic Physician
- Status: Active
- Date Granted: 06/20/2014 (almost 11 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Reid Hospital, 1100 Reid PKWY, Richmond IN 47374
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