License holder summary

DEWARD DWAYNE PETERSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DEWARD DWAYNE PETERSON is 221 SOUTH 6TH STREET, TERRE HAUTE IN 47807. This licensed professional license is not current. The license was granted 12/31/1983 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

DEWARD DWAYNE PETERSON
Controlled Substance Registration - Physician
License number
01017013B
Date granted
12/31/1983
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
221 SOUTH 6TH STREET, TERRE HAUTE IN 47807
indianalicensing.org
ID 5925016
LAST UPDATED 2024-04-21 04:07:10 UTC

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