Indiana
Professional Licensing Agency
Winston Samuel
Controlled Substance Registration - Physician
License number
01040019B
Date granted
11/04/1992
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT STATE HOSPITAL, R R #2 BOX 38, LOGANSPORT IN 46947
indianalicensing.org
ID 5886017
LAST UPDATED 2024-01-25 16:24:47 UTC
LAST UPDATED 2024-01-25 16:24:47 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.