License holder summary

Sam Hansen is a Physician licensed to practice in Indiana. The address on file for Sam Hansen is Lafayette IN 47905-4939. This licensed professional license is current. The license was granted 07/19/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Sam Hansen
Physician
License number
01054645A
Date granted
07/19/2001
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Lafayette IN 47905-4939
indianalicensing.org
ID 6069474
LAST UPDATED 2024-03-11 01:31:57 UTC

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