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
LAST UPDATED 2024-02-20 02:03:16 UTC
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