License holder summary

CHARLES E PETERSON M D is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for CHARLES E PETERSON M D is 621 MEMORIAL DRIVE SUITE 302, SOUTH BEND IN 46601. This licensed professional license is not current. The license was granted 02/10/1982 and expired on 01/31/1998.

Indiana

Professional Licensing Agency

CHARLES E PETERSON M D
Medical Licensing Board - Medical Corporation
License number
50002260A
Date granted
02/10/1982
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
621 MEMORIAL DRIVE SUITE 302, SOUTH BEND IN 46601
indianalicensing.org
ID 24833927
LAST UPDATED 2024-03-04 15:57:41 UTC

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