Indiana
Professional Licensing Agency
Caesar Sams
Controlled Substance Registration - Dentist
License number
12010247B
Date granted
09/20/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
The Dental Center, 1005 East LaSalle Avenue, South Bend IN 46617-2818
indianalicensing.org
ID 5122708
LAST UPDATED 2024-03-18 19:01:37 UTC
LAST UPDATED 2024-03-18 19:01:37 UTC
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