THOMAS DALE SHELLENBERGER
License Number: ME76838
Data As Of 5/19/2024
Profession | Medical Doctor |
---|---|
License | ME76838 |
License Status | CLEAR/Inactive |
License Expiration Date | 1/31/2025 |
License Original Issue Date | 09/24/1998 |
Address of Record | 2946 E Banner Gateway Drive |
Suite 450 | |
GILBERT, AZ 85234 | |
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
Discipline on File | Yes |
Public Complaint | Yes |
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