Indiana
Professional Licensing Agency
Beata Elizabeth Samuel
Controlled Substance Registration - Physician
License number
01064081B
Date granted
07/24/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Pedicare Care Saxony Pavillion, 13121 Olio Road Ste 340, Fishers IN 46037
indianalicensing.org
ID 5851710
LAST UPDATED 2024-04-02 11:52:38 UTC
LAST UPDATED 2024-04-02 11:52:38 UTC
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