Indiana
Professional Licensing Agency
DEWARD DWAYNE PETERSON
Controlled Substance Registration - Physician
License number
01017013B
Date granted
12/31/1983
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
221 SOUTH 6TH STREET, TERRE HAUTE IN 47807
indianalicensing.org
ID 5925016
LAST UPDATED 2024-05-01 07:40:31 UTC
LAST UPDATED 2024-05-01 07:40:31 UTC
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