Indiana
Professional Licensing Agency
Nicholas Tom Peponis
Controlled Substance Registration-Osteopathic Physician
License number
02002072B
Date granted
04/09/2003
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Goshen General Hospital, 200 High Park Ave, Goshen IN 46526
indianalicensing.org
ID 5801593
LAST UPDATED 2024-04-10 14:48:23 UTC
LAST UPDATED 2024-04-10 14:48:23 UTC
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