Indiana
Professional Licensing Agency
JOSE PERALTA
Controlled Substance Registration - Physician
License number
01024217B
Date granted
11/30/1984
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BEN HUR SURGICAL GROUP INC, 1704 LAFAYETTE RD #2 PO BX 9, CRAWFORDSVILLE IN 47933
indianalicensing.org
ID 5840311
LAST UPDATED 2026-05-10 10:32:14 UTC
LAST UPDATED 2026-05-10 10:32:14 UTC
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