Samuel Lyle Graham, III
Controlled Substance Registration - Physician
Indiana 01027250B Retired
This Indiana license was held by Samuel Lyle Graham, III. The license is no longer active. It was granted on 09/24/1985 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01027250B
- Category: CSR-Physician
- Status: Retired
- Date Granted: 09/24/1985 (over 39 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
MEDICAL STAFF OFFICE, 1220 MISSOURI AVENUE, JEFFERSONVILLE IN 47130