Indiana
Professional Licensing Agency
Thomas Robert Peters
Controlled Substance Registration - Dentist
License number
12007708B
Date granted
07/31/1986
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
5943 Central Avenue, Portage IN 46368-2946
indianalicensing.org
ID 5119225
LAST UPDATED 2024-04-13 17:08:08 UTC
LAST UPDATED 2024-04-13 17:08:08 UTC
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