License holder summary

PETER LEV HERCULES is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PETER LEV HERCULES is STATE LINE FAMILY MEDICINE, 121 LIBERTY STREET, WEST COLLEGE CORNER IN 47003. This licensed professional license is not current. The license was granted 01/23/1997 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

PETER LEV HERCULES
Controlled Substance Registration - Physician
License number
01046166B
Date granted
01/23/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
STATE LINE FAMILY MEDICINE, 121 LIBERTY STREET, WEST COLLEGE CORNER IN 47003
indianalicensing.org
ID 5933707
LAST UPDATED 2024-04-29 16:34:26 UTC

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