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
LAST UPDATED 2024-04-21 01:49:42 UTC
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