SHANE PATRICK DORSEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

SHANE

Middle

PATRICK

Last Name

DORSEY

Business Name

SHANE PATRICK DORSEY MD

Original Issue Date

04/03/2024

Effective Date

04/03/2024

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46218

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/03/2024