License holder summary

MICHAEL R PETERSEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MICHAEL R PETERSEN is CINCINNATI EYE INSTITUTE, 275 BIELBY ROAD, LAWRENCEBURG IN 47025. This licensed professional license is not current. The license was granted 07/23/1998 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

MICHAEL R PETERSEN
Controlled Substance Registration - Physician
License number
01049160B
Date granted
07/23/1998
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CINCINNATI EYE INSTITUTE, 275 BIELBY ROAD, LAWRENCEBURG IN 47025
indianalicensing.org
ID 5882879
LAST UPDATED 2024-03-05 01:46:54 UTC

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