License holder summary

JOHN THOMAS SAMUELS II is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOHN THOMAS SAMUELS II is GOSHEN GENERAL HOSP, 200 HIGH PARK AVE, GOSHEN IN 46526. This licensed professional license is not current. The license was granted 12/27/1991 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

JOHN THOMAS SAMUELS II
Controlled Substance Registration - Physician
License number
01039889B
Date granted
12/27/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GOSHEN GENERAL HOSP, 200 HIGH PARK AVE, GOSHEN IN 46526
indianalicensing.org
ID 5858744
LAST UPDATED 2024-03-13 22:27:41 UTC

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