Indiana
Professional Licensing Agency
Samson Benjamin
Controlled Substance Registration - Physician
License number
01022675B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
SAMSON A BENJAMIN, 3920 W TIMBER RIDGE ROAD, La Porte IN 46350
indianalicensing.org
ID 5878462
LAST UPDATED 2024-03-08 00:56:34 UTC
LAST UPDATED 2024-03-08 00:56:34 UTC
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