Indiana
Professional Licensing Agency
Jeffrey Eugene Petersen
Controlled Substance Registration - Physician
License number
01049359C
Date granted
01/16/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Laser and Skin Surgery Cntr. of Indiana, 13400 N. Meridian, Suite 290, Carmel IN 46032
indianalicensing.org
ID 5830812
LAST UPDATED 2024-03-20 11:41:27 UTC
LAST UPDATED 2024-03-20 11:41:27 UTC
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