License holder summary

RONALD SAM is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for RONALD SAM is SIBLEY MEDICAL CLINIC WHITING, 1010 119TH STREET, Whiting IN 46394. This licensed professional license is not current. The license was granted 12/08/1999 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

RONALD SAM
Controlled Substance Registration-Osteopathic Physician
License number
02002153B
Date granted
12/08/1999
Date expires
06/30/2003
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
SIBLEY MEDICAL CLINIC WHITING, 1010 119TH STREET, Whiting IN 46394
indianalicensing.org
ID 5815862
LAST UPDATED 2024-02-18 14:45:50 UTC

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