Indiana
Professional Licensing Agency
Peter R. Koenig
Controlled Substance Registration - Physician
License number
01049629B
Date granted
03/06/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Medical Specialist, 1950 45th Street Suite 202, Munster IN 46321
indianalicensing.org
ID 5901174
LAST UPDATED 2024-04-15 07:20:53 UTC
LAST UPDATED 2024-04-15 07:20:53 UTC
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