License holder summary

Paul Frederick Peterson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Paul Frederick Peterson is 4809 NORTH PENNSLYVANIA ST, INDIANAPOLIS IN 46205. This licensed professional license is current. The license was granted 10/31/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Paul Frederick Peterson
Controlled Substance Registration - Dentist
License number
12008324B
Date granted
10/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4809 NORTH PENNSLYVANIA ST, INDIANAPOLIS IN 46205
indianalicensing.org
ID 5103889
LAST UPDATED 2024-03-22 20:10:03 UTC

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