Indiana
Professional Licensing Agency
Samuel D. Hennessee
Controlled Substance Registration - Physician
License number
01024495B
Date granted
11/30/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
INDIANA SURGERY CENTER NORTH, 8040 CLEARVISTA PARKWAY, INDIANAPOLIS IN 46256
indianalicensing.org
ID 5870760
LAST UPDATED 2024-04-03 02:00:37 UTC
LAST UPDATED 2024-04-03 02:00:37 UTC
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