MICHAEL R PETERSEN
Controlled Substance Registration - Physician
Indiana 01049160B Expired
This Indiana license was held by MICHAEL R PETERSEN. The license is no longer active. It was granted on 07/23/1998 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01049160B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/23/1998 (almost 27 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
CINCINNATI EYE INSTITUTE, 275 BIELBY ROAD, LAWRENCEBURG IN 47025