Indiana
Professional Licensing Agency
Robert J Peralta
Controlled Substance Registration - Physician
License number
01068178B
Date granted
05/26/2010
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
275 Bielby Road, Lawrenceburg IN 47025-1055
indianalicensing.org
ID 5883167
LAST UPDATED 2024-05-02 20:53:02 UTC
LAST UPDATED 2024-05-02 20:53:02 UTC
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