License holder summary

JUSTO R SAMALIO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JUSTO R SAMALIO is 910 WASHINGTON STREET, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 07/12/1989 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

JUSTO R SAMALIO
Controlled Substance Registration - Physician
License number
01026175B
Date granted
07/12/1989
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
910 WASHINGTON STREET, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892943
LAST UPDATED 2024-03-23 07:13:00 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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