The holder whose full name is Shackelford, Krista E.,come from Indianapolis IN,hold the Physician license(NO.01061838A) which status is Expired Non-Renewable.
| Name | Shackelford, Krista E. |
|---|---|
| License Number | 01061838A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |