License holder summary

Samantha Michelle Lucas is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Samantha Michelle Lucas is 2325 18th Street, Ste 130, Columbus IN 47201. This licensed professional license is current. The license was granted 03/17/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Samantha Michelle Lucas
Controlled Substance Registration - Physician
License number
01067207B
Date granted
03/17/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2325 18th Street, Ste 130, Columbus IN 47201
indianalicensing.org
ID 5837182
LAST UPDATED 2024-04-23 22:05:33 UTC

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