Indiana
Professional Licensing Agency
ILA MARIE PETERSON
Controlled Substance Registration - Physician
License number
01034448B
Date granted
07/16/1985
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 101, LAGRANGE IN 46761
indianalicensing.org
ID 5881002
LAST UPDATED 2024-02-03 19:15:42 UTC
LAST UPDATED 2024-02-03 19:15:42 UTC
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