Indiana
Professional Licensing Agency
PETER DZWONKOWSKI
Controlled Substance Registration - Physician
License number
01042864B
Date granted
07/28/1994
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1024 S SIXTH STREET, TERRE HAUTE IN 47807
indianalicensing.org
ID 5926225
LAST UPDATED 2024-03-02 16:36:12 UTC
LAST UPDATED 2024-03-02 16:36:12 UTC
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