License holder summary

Susan K. Peterson is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Susan K. Peterson is Fort Wayne Medical Oncology and Hematology, INC., 11143 Parkview Plaza Drive Ste#100, Fort Wayne IN 46845-1701. This licensed professional license is current. The license was granted 12/07/2007 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Susan K. Peterson
Controlled Substance Registration-Physician Assistant
License number
10000342B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Fort Wayne Medical Oncology and Hematology, INC., 11143 Parkview Plaza Drive Ste#100, Fort Wayne IN 46845-1701
indianalicensing.org
ID 8386658
LAST UPDATED 2024-04-11 07:51:25 UTC

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