License holder summary

Peter Mitchell Rothman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Peter Mitchell Rothman is Peter M. Rothman, MD, 7920 West Jefferson Blvd, Suite 220, Fort Wayne IN 46804. This licensed professional license is current. The license was granted 08/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Peter Mitchell Rothman
Controlled Substance Registration - Physician
License number
01026818B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Peter M. Rothman, MD, 7920 West Jefferson Blvd, Suite 220, Fort Wayne IN 46804
indianalicensing.org
ID 5854183
LAST UPDATED 2024-05-04 16:10:26 UTC

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