Peter John Blank

Controlled Substance Registration - Dentist

Indiana  12009167B   Active

This Indiana license is held by Peter John Blank. The license is currently active. It was granted on 07/02/1992 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009167B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 07/02/1992 (almost 33 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

192 PROFESSIONAL COURT, HEBRON IN 46341