Wallace A. Shellenberger
Controlled Substance Registration - Physician
Indiana 01020515B Expired
This Indiana license was held by Wallace A. Shellenberger. The license is no longer active. It was granted on 01/31/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01020515B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1986 (over 40 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
2845 NORTH COUNTY ROAD 100 WEST, Paoli IN 47454