License holder summary

SAMUEL A MOTANYA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SAMUEL A MOTANYA is 800 BROADWAY #215, FORT WAYNE IN 46802. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

SAMUEL A MOTANYA
Controlled Substance Registration - Physician
License number
01033309B
Date granted
07/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
800 BROADWAY #215, FORT WAYNE IN 46802
indianalicensing.org
ID 5854453
LAST UPDATED 2024-05-10 18:25:47 UTC

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