Indiana
Professional Licensing Agency
Ronald L. Peterson
Controlled Substance Registration - Physician
License number
01017762B
Date granted
12/31/1985
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6989 Highway 17, Plymouth IN 46563
indianalicensing.org
ID 5910781
LAST UPDATED 2024-04-04 15:24:59 UTC
LAST UPDATED 2024-04-04 15:24:59 UTC
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