ERIC NATHAN SHEPARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

NATHAN

Last Name

SHEPARD

Business Name

ERIC NATHAN SHEPARD MD

Original Issue Date

03/22/2024

Effective Date

03/22/2024

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46202

County

MARION

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/22/2024