ALLEN LELAND PETERSON
Controlled Substance Registration - Physician
Indiana 01025159B Expired
This Indiana license was held by ALLEN LELAND PETERSON. The license is no longer active. It was granted on 07/08/1987 and expired on 06/30/1989
LICENSE DETAILS
- License Number: 01025159B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/08/1987 (almost 38 years ago)
- Expiry Date: 06/30/1989 (almost 36 years ago)
LOCATIONS
A Address
PORTER MEMORIAL HOSPITAL, 814 LAPORTE AVENUE, VALPARAISO IN 46383