License holder summary

Ebenezer Sampong Bediako is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ebenezer Sampong Bediako is 1852 Ashburn Drive, Goshen IN 46526. This licensed professional license is current. The license was granted 04/20/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ebenezer Sampong Bediako
Controlled Substance Registration - Physician
License number
01063471B
Date granted
04/20/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1852 Ashburn Drive, Goshen IN 46526
indianalicensing.org
ID 5858580
LAST UPDATED 2024-04-14 14:14:56 UTC

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