Indiana
Professional Licensing Agency
Robert Allan Penn
Controlled Substance Registration - Physician
License number
01017915B
Date granted
12/31/1985
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
34 DIANA ROAD, PORTAGE IN 46368
indianalicensing.org
ID 5911233
LAST UPDATED 2024-02-22 23:15:45 UTC
LAST UPDATED 2024-02-22 23:15:45 UTC
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