License holder summary

Peter P. Caccavallo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Peter P. Caccavallo is 13000 E. 136th Street, Suite 1100, Fishers IN 46037. This licensed professional license is current. The license was granted 10/13/2000 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Peter P. Caccavallo
Controlled Substance Registration - Physician
License number
01053181B
Date granted
10/13/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
13000 E. 136th Street, Suite 1100, Fishers IN 46037
indianalicensing.org
ID 11951245
LAST UPDATED 2024-03-15 05:12:10 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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