License holder summary

ADELA PERALTA PENA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ADELA PERALTA PENA is 1935 MELBROOK CT., MUNSTER IN 46321. This licensed professional license is not current. The license was granted 10/21/1976 and expired on 03/31/1983.

Indiana

Professional Licensing Agency

ADELA PERALTA PENA
Controlled Substance Registration - Physician
License number
01027253B
Date granted
10/21/1976
Date expires
03/31/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1935 MELBROOK CT., MUNSTER IN 46321
indianalicensing.org
ID 5899732
LAST UPDATED 2024-04-24 07:25:23 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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