PETER B PARK
Controlled Substance Registration - Physician
Indiana 01054077B Expired
This Indiana license was held by PETER B PARK. The license is no longer active. It was granted on 06/20/2001 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01054077B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/20/2001 (almost 24 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
Jamie Flynn, 1250 South Creasy Lane, Lafayette IN 47905