License holder summary

Samuel Phillip Shattan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Samuel Phillip Shattan is LOGANSPORT STATE HOSPITAL, ROUTE 2, LOGANSPORT IN 46947. This licensed professional license is not current. The license was granted 05/12/1994 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Samuel Phillip Shattan
Controlled Substance Registration - Physician
License number
01042360B
Date granted
05/12/1994
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT STATE HOSPITAL, ROUTE 2, LOGANSPORT IN 46947
indianalicensing.org
ID 5885729
LAST UPDATED 2024-04-21 01:49:42 UTC

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