License holder summary

SAMUEL NIEN TSU WONG is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SAMUEL NIEN TSU WONG is 6642 CALUMET AVENUE, HAMMOND IN 46324. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

SAMUEL NIEN TSU WONG
Controlled Substance Registration - Physician
License number
01017838B
Date granted
06/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Surrendered
Address
6642 CALUMET AVENUE, HAMMOND IN 46324
indianalicensing.org
ID 5865274
LAST UPDATED 2024-02-20 02:03:16 UTC

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