Samuel M. Brubaker
Controlled Substance Registration - Physician
Indiana 01056996B Expired
This Indiana license was held by Samuel M. Brubaker. The license is no longer active. It was granted on 09/08/2003 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01056996B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/08/2003 (over 21 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
Tri County Surgical Associates, 430 B West Votaw St., Portland IN 47371