Wallace A. Shellenberger
Controlled Substance Registration - Physician
Indiana 01020515C Expired
This Indiana license was held by Wallace A. Shellenberger. The license is no longer active. It was granted on 09/02/1964 and expired on 01/31/1984
LICENSE DETAILS
- License Number: 01020515C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/02/1964 (almost 62 years ago)
- Expiry Date: 01/31/1984 (over 42 years ago)
LOCATIONS
A Address
CRAWFORD MEDICAL CLINIC, ENGLISH IN, ENGLISH IN 47118