License holder summary

TIMOTHY ALAN PETERS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for TIMOTHY ALAN PETERS is 2349 LAKE AVENUE SUITE 100, PLYMOUTH IN 46563. This licensed professional license is current. The license was granted 01/26/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

TIMOTHY ALAN PETERS
Controlled Substance Registration - Physician
License number
01043381B
Date granted
01/26/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2349 LAKE AVENUE SUITE 100, PLYMOUTH IN 46563
indianalicensing.org
ID 5910865
LAST UPDATED 2024-03-26 03:35:28 UTC

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