License holder summary

SAM ROTMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SAM ROTMAN is 206 WEST MAIN ST, JASONVILLE IN 47438. This licensed professional license is not current. The license was granted 08/15/1931 and expired on 08/31/1984.

Indiana

Professional Licensing Agency

SAM ROTMAN
Controlled Substance Registration - Physician
License number
01011546B
Date granted
08/15/1931
Date expires
08/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
206 WEST MAIN ST, JASONVILLE IN 47438
indianalicensing.org
ID 5871295
LAST UPDATED 2024-02-22 10:11:26 UTC

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