License holder summary

Alison Riley Petrovich is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alison Riley Petrovich is St. Anthony Clinic, 11161 Randolph St., Crown Point IN 46307. This licensed professional license is current. The license was granted 06/22/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Alison Riley Petrovich
Controlled Substance Registration - Physician
License number
01054379B
Date granted
06/22/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Anthony Clinic, 11161 Randolph St., Crown Point IN 46307
indianalicensing.org
ID 5840712
LAST UPDATED 2024-02-26 22:17:01 UTC

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