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
LAST UPDATED 2026-04-27 04:16:24 UTC
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