License holder summary

Samuel Samir Wakim is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Samuel Samir Wakim is Aspen Dental, 4170 Grape Road, Suite A, Mishawaka IN 46545. This licensed professional license is current. The license was granted 01/08/2008 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Samuel Samir Wakim
Controlled Substance Registration - Dentist
License number
12011100B
Date granted
01/08/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 4170 Grape Road, Suite A, Mishawaka IN 46545
indianalicensing.org
ID 5112811
LAST UPDATED 2024-04-08 02:28:07 UTC

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