Indiana
Professional Licensing Agency
KERMIT F PERRIN
Controlled Substance Registration - Physician
License number
01012587B
Date granted
12/31/1985
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2828 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 5853844
LAST UPDATED 2024-02-18 13:40:53 UTC
LAST UPDATED 2024-02-18 13:40:53 UTC
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