License holder summary

Shane Timothy Sampson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shane Timothy Sampson is 2300 WEST GILBERT ST, MUNCIE IN 47303. This licensed professional license is not current. The license was granted 07/01/1990 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

Shane Timothy Sampson
Controlled Substance Registration - Physician
License number
01038529B
Date granted
07/01/1990
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2300 WEST GILBERT ST, MUNCIE IN 47303
indianalicensing.org
ID 5899360
LAST UPDATED 2026-05-27 00:16:00 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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