Indiana
Professional Licensing Agency
SAMUEL G LEATHER
Controlled Substance Registration - Physician
License number
01052339B
Date granted
04/03/2000
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAMILY CARE CENTERS OF INDIANA, 10200 WICKER AVENUE, Saint John IN 46373
indianalicensing.org
ID 5916396
LAST UPDATED 2024-03-06 06:49:46 UTC
LAST UPDATED 2024-03-06 06:49:46 UTC
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