License holder summary

PETER B PARK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PETER B PARK is Jamie Flynn, 1250 South Creasy Lane, Lafayette IN 47905. This licensed professional license is not current. The license was granted 06/20/2001 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

PETER B PARK
Controlled Substance Registration - Physician
License number
01054077B
Date granted
06/20/2001
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Jamie Flynn, 1250 South Creasy Lane, Lafayette IN 47905
indianalicensing.org
ID 11954818
LAST UPDATED 2024-03-01 00:08:16 UTC

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

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