Indiana
Professional Licensing Agency
Samuel Jonathan Byrd
Controlled Substance Registration - Physician
License number
01058714B
Date granted
02/23/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
EZ Doctors Quick Care Inc., 1621 Willow Street, Vincennes IN 47591
indianalicensing.org
ID 5931484
LAST UPDATED 2026-04-01 18:27:25 UTC
LAST UPDATED 2026-04-01 18:27:25 UTC
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