Indiana
Professional Licensing Agency
HAROLD G PETITJEAN
Controlled Substance Registration - Physician
License number
01011031B
Date granted
12/31/1985
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
R R #2 BOX 127, HAUBSTADT IN 47639
indianalicensing.org
ID 5866093
LAST UPDATED 2024-03-27 07:51:36 UTC
LAST UPDATED 2024-03-27 07:51:36 UTC
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