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 The license is no longer active.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 (about 13 years ago)
- Expiry Date: 03/01/2014 (over 11 years ago)
LOCATIONS
A Address
2122 Center Street, Warsaw IN 46580