License holder summary

ALAN C PETERSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ALAN C PETERSON is INDIANA/OHIO HEART, 7910 WEST JEFFERSON BLVD #102, FORT WAYNE IN 46804. This licensed professional license is current. The license was granted 07/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

ALAN C PETERSON
Controlled Substance Registration - Physician
License number
01031812B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
INDIANA/OHIO HEART, 7910 WEST JEFFERSON BLVD #102, FORT WAYNE IN 46804
indianalicensing.org
ID 5852863
LAST UPDATED 2024-03-29 01:39:47 UTC

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