Indiana
Professional Licensing Agency
Jana I. Petra
Controlled Substance Registration - Physician
License number
01051788C
Date granted
12/28/2001
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Clarian Arnett Health Hospital, 5165 McCarthy Lane, Attn: Cynthia Gamble, Lafayette IN 47905
indianalicensing.org
ID 5879693
LAST UPDATED 2024-02-06 15:54:31 UTC
LAST UPDATED 2024-02-06 15:54:31 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.