Samuel Jackson Drake
Controlled Substance Registration-Osteopathic Physician
Indiana 02000065B Expired
This Indiana license was held by Samuel Jackson Drake. The license is no longer active. It was granted on 10/31/1985 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 02000065B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 10/31/1985 (over 40 years ago)
- Expiry Date: 06/30/2001 (almost 25 years ago)
LOCATIONS
A Address
19978 ROOSEVELT, SOUTH BEND IN 46614