License holder summary

PETER C BLACK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PETER C BLACK is PRUDENTIAL INSURANCE CO, PURDENTIAL PLAZA, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 06/30/1985 and expired on 06/30/1985.

Indiana

Professional Licensing Agency

PETER C BLACK
Controlled Substance Registration - Physician
License number
01030851B
Date granted
06/30/1985
Date expires
06/30/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PRUDENTIAL INSURANCE CO, PURDENTIAL PLAZA, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891268
LAST UPDATED 2026-04-27 04:16:24 UTC

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