Indiana
Professional Licensing Agency
ALLEN LELAND PETERSON
Controlled Substance Registration - Physician
License number
01025159B
Date granted
07/08/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PORTER MEMORIAL HOSPITAL, 814 LAPORTE AVENUE, VALPARAISO IN 46383
indianalicensing.org
ID 5927999
LAST UPDATED 2024-04-12 12:22:58 UTC
LAST UPDATED 2024-04-12 12:22:58 UTC
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