License holder summary

SAMUEL R DOUGHTY JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SAMUEL R DOUGHTY JR is 5258 CHANNING COURT, INDIANAPOLIS IN 46226. This licensed professional license is not current. The license was granted 10/31/1984 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

SAMUEL R DOUGHTY JR
Controlled Substance Registration - Physician
License number
01016975B
Date granted
10/31/1984
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5258 CHANNING COURT, INDIANAPOLIS IN 46226
indianalicensing.org
ID 5870819
LAST UPDATED 2024-05-14 14:37:28 UTC

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