ADELA PERALTA PENA
Controlled Substance Registration - Physician
Indiana 01027253B Expired
This Indiana license was held by ADELA PERALTA PENA. The license is no longer active. It was granted on 10/21/1976 and expired on 03/31/1983
LICENSE DETAILS
- License Number: 01027253B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/21/1976 (over 48 years ago)
- Expiry Date: 03/31/1983 (about 42 years ago)
LOCATIONS
A Address
1935 MELBROOK CT., MUNSTER IN 46321