RONALD SAM
Controlled Substance Registration-Osteopathic Physician
Indiana 02002153B Expired
This Indiana license was held by RONALD SAM. The license is no longer active. It was granted on 12/08/1999 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 02002153B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 12/08/1999 (over 25 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
SIBLEY MEDICAL CLINIC WHITING, 1010 119TH STREET, Whiting IN 46394