Samuel Samir Wakim
Controlled Substance Registration - Dentist
Indiana 12011100B Active
This Indiana license is held by Samuel Samir Wakim. The license is currently active. It was granted on 01/08/2008 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12011100B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 01/08/2008 (over 17 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
Aspen Dental, 4170 Grape Road, Suite A, Mishawaka IN 46545
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