Indiana
Professional Licensing Agency
Marwan Abdul Samad
Controlled Substance Registration - Physician
License number
01040993B
Date granted
01/21/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1509 State Street, La Porte IN 46350
indianalicensing.org
ID 5878272
LAST UPDATED 2024-04-04 14:05:48 UTC
LAST UPDATED 2024-04-04 14:05:48 UTC
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