Jeffrey Eugene Petersen

Controlled Substance Registration - Physician

Indiana  01049359C   Active

This Indiana license is held by Jeffrey Eugene Petersen. The license is currently active. It was granted on 01/16/2008 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01049359C
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 01/16/2008 (over 17 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Laser and Skin Surgery Cntr. of Indiana, 13400 N. Meridian, Suite 290, Carmel IN 46032