Shane Timothy Sampson
Controlled Substance Registration - Physician
Indiana 01038529B Expired
This Indiana license was held by Shane Timothy Sampson. The license is no longer active. It was granted on 07/01/1990 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01038529B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/01/1990 (almost 35 years ago)
- Expiry Date: 06/30/1995 (almost 30 years ago)
LOCATIONS
A Address
2300 WEST GILBERT ST, MUNCIE IN 47303