New Mexico
Regulation & Licensing Department
Shane Brock, C.N.P.
Controlled Substance
License number
CS00214051
Date granted
10/10/2008
Date expires
07/31/2014
Class
Controlled Substance
Status
Active
licensingnm.com
ID 5830737
LAST UPDATED 2024-05-10 09:09:14 UTC
LAST UPDATED 2024-05-10 09:09:14 UTC
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