License holder summary

Samantha Dawn Bouchie is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Samantha Dawn Bouchie is Parkside Internal Medicine, 9669 E. 146th Street, Suite 200, Noblesville IN 46060. This licensed professional license is current. The license was granted 07/12/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Samantha Dawn Bouchie
Controlled Substance Registration - Physician
License number
01072482B
Date granted
07/12/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Parkside Internal Medicine, 9669 E. 146th Street, Suite 200, Noblesville IN 46060
indianalicensing.org
ID 5907333
LAST UPDATED 2024-03-16 13:51:46 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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