License holder summary

Samuel M. Brubaker is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Samuel M. Brubaker is Tri County Surgical Associates, 430 B West Votaw St., Portland IN 47371. This licensed professional license is not current. The license was granted 09/08/2003 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Samuel M. Brubaker
Controlled Substance Registration - Physician
License number
01056996B
Date granted
09/08/2003
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Tri County Surgical Associates, 430 B West Votaw St., Portland IN 47371
indianalicensing.org
ID 5911613
LAST UPDATED 2026-04-15 22:31:25 UTC

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