Peter Hannon
Controlled Substance Registration-Osteopathic Physician
Indiana 02003015B Expired
This Indiana license was held by Peter Hannon. The license is no longer active. It was granted on 12/05/2005 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 02003015B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 12/05/2005 (over 20 years ago)
- Expiry Date: 06/30/2009 (almost 17 years ago)
LOCATIONS
A Address
Medical Staff Office/ Parkview Hospital/ ATTN: Peg Roser, 2200 Randellia Drive, Fort Wayne IN 46805