Indiana
Professional Licensing Agency
Charles Edward Peterson
Controlled Substance Registration - Physician
License number
01028400B
Date granted
09/30/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
GENERAL & VASCULAR SURGERY, P.C., 621 MEMORIAL DRIVE #302, SOUTH BEND IN 46601
indianalicensing.org
ID 5920572
LAST UPDATED 2024-03-08 18:17:29 UTC
LAST UPDATED 2024-03-08 18:17:29 UTC
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