License holder summary

Steven Dee Peterson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Steven Dee Peterson is 6604 CENTERTON DRIVE, FORT WAYNE IN 46815. This licensed professional license is not current. The license was granted 06/20/1978 and expired on 08/31/1984.

Indiana

Professional Licensing Agency

Steven Dee Peterson
Controlled Substance Registration - Dentist
License number
12007648B
Date granted
06/20/1978
Date expires
08/31/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
6604 CENTERTON DRIVE, FORT WAYNE IN 46815
indianalicensing.org
ID 5095979
LAST UPDATED 2024-01-30 14:57:11 UTC

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