Thomas Richard Shoemaker
Controlled Substance Registration - Dentist
Indiana 12008284B Expired
This Indiana license was held by Thomas Richard Shoemaker. The license is no longer active. It was granted on 08/31/1986 and expired on 03/01/2004
LICENSE DETAILS
- License Number: 12008284B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 08/31/1986 (over 37 years ago)
- Expiry Date: 03/01/2004 (about 20 years ago)
LOCATIONS
A Address
2130 PEMBERTON DRIVE, Fort Wayne IN 46805