Indiana
Professional Licensing Agency
Doreen Marie Peterson
Controlled Substance Registration - Dentist
License number
12008952B
Date granted
08/28/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
131 Ridge Rd. Ste. 2 North, Munster IN 46321
indianalicensing.org
ID 5114595
LAST UPDATED 2024-04-19 20:45:46 UTC
LAST UPDATED 2024-04-19 20:45:46 UTC
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