Indiana
Professional Licensing Agency
Paul Frederick Peterson
Controlled Substance Registration - Dentist
License number
12008324B
Date granted
10/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4809 NORTH PENNSLYVANIA ST, INDIANAPOLIS IN 46205
indianalicensing.org
ID 5103889
LAST UPDATED 2024-04-11 05:47:40 UTC
LAST UPDATED 2024-04-11 05:47:40 UTC
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