Indiana
Professional Licensing Agency
Peter Hannon
Controlled Substance Registration-Osteopathic Physician
License number
02003015B
Date granted
12/05/2005
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Medical Staff Office/ Parkview Hospital/ ATTN: Peg Roser, 2200 Randellia Drive, Fort Wayne IN 46805
indianalicensing.org
ID 5800772
LAST UPDATED 2024-02-23 05:40:19 UTC
LAST UPDATED 2024-02-23 05:40:19 UTC
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