License holder summary

Lee Michael Periolat is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lee Michael Periolat is 601 Wall Street, Valparaiso IN 46383. This licensed professional license is current. The license was granted 08/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lee Michael Periolat
Controlled Substance Registration - Physician
License number
01026484B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
601 Wall Street, Valparaiso IN 46383
indianalicensing.org
ID 5929063
LAST UPDATED 2024-02-26 11:20:13 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Lee Michael Periolat's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending