License holder summary

ROBERT ALLAN PENN JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ROBERT ALLAN PENN JR is 3820 CENTRAL AVENUE, LAKE STATION IN 46405. This licensed professional license is not current. The license was granted 01/12/1986 and expired on 01/31/1986.

Indiana

Professional Licensing Agency

ROBERT ALLAN PENN JR
Controlled Substance Registration - Physician
License number
01034567B
Date granted
01/12/1986
Date expires
01/31/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3820 CENTRAL AVENUE, LAKE STATION IN 46405
indianalicensing.org
ID 5881223
LAST UPDATED 2024-03-26 22:53:25 UTC

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