Indiana
Professional Licensing Agency
Edward Matthew Sammons
Controlled Substance Registration - Dentist
License number
12009779B
Date granted
07/17/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2347 Cason Street, Lafayette IN 47904
indianalicensing.org
ID 5107438
LAST UPDATED 2024-04-17 01:26:57 UTC
LAST UPDATED 2024-04-17 01:26:57 UTC
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