MICHAEL SHANKS DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****26

ACTIVE

N

DO

MICHAEL

SHANKS

MICHAEL SHANKS DO

10/30/2023

10/30/2023

07/31/2026

TERRE HAUTE

IN

47802

PRACTITIONER

II III IV V

N

10/30/2023