PETER DZWONKOWSKI
Controlled Substance Registration - Physician
Indiana 01042864B Expired
This Indiana license was held by PETER DZWONKOWSKI. The license is no longer active. It was granted on 07/28/1994 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01042864B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/28/1994 (almost 30 years ago)
- Expiry Date: 06/30/1997 (almost 27 years ago)
LOCATIONS
A Address
1024 S SIXTH STREET, TERRE HAUTE IN 47807