Sam Hansen
Controlled Substance Registration - Physician
Indiana 01054645B Active
This Indiana license is held by Sam Hansen. The license is currently active. It was granted on 07/19/2001 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01054645B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/19/2001 (almost 24 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
St Vincent Medical Group, Inc, 3900 St. Francis Way, Suite 205, Lafayette IN 47905-4939
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