Timothy Joseph Shambaugh

Controlled Substance Registration - Dentist

Indiana  12007177D   Expired

This Indiana license was held by Timothy Joseph Shambaugh. The license is no longer active. It was granted on 06/20/2012 and expired on 03/01/2014

LICENSE DETAILS

  • License Number: 12007177D
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 06/20/2012 (almost 13 years ago)
  • Expiry Date: 03/01/2014 (over 11 years ago)

LOCATIONS

A Address

2122 Center Street, Warsaw IN 46580