HAROLD G PETITJEAN
Controlled Substance Registration - Physician
Indiana 01011031B Expired
This Indiana license was held by HAROLD G PETITJEAN. The license is no longer active. It was granted on 12/31/1985 and expired on 06/30/1987
LICENSE DETAILS
- License Number: 01011031B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/31/1985 (over 39 years ago)
- Expiry Date: 06/30/1987 (almost 38 years ago)
LOCATIONS
A Address
R R #2 BOX 127, HAUBSTADT IN 47639