License holder summary

Thomas M. Peterson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Thomas M. Peterson is P O BOX 4199, ANDERSON IN 46013. This licensed professional license is not current. The license was granted 02/12/1988 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

Thomas M. Peterson
Controlled Substance Registration - Dentist
License number
12008763B
Date granted
02/12/1988
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
P O BOX 4199, ANDERSON IN 46013
indianalicensing.org
ID 5081053
LAST UPDATED 2024-02-21 19:13:48 UTC

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