Indiana
Professional Licensing Agency
Daniel Bearss Roberts
Controlled Substance Registration - Physician
License number
01021562B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
24 Albert Street, Peru IN 46970
indianalicensing.org
ID 5909392
LAST UPDATED 2024-03-25 15:47:32 UTC
LAST UPDATED 2024-03-25 15:47:32 UTC
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