Indiana
Professional Licensing Agency
Samuel B. VanLandingham
Controlled Substance Registration - Physician
License number
01036354B
Date granted
10/14/1987
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1919 Lake Avenue Ste 102, Plymouth IN 46563
indianalicensing.org
ID 5910794
LAST UPDATED 2024-04-11 20:09:19 UTC
LAST UPDATED 2024-04-11 20:09:19 UTC
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