Peter P. Caccavallo
Controlled Substance Registration - Physician
Indiana 01053181B Active
This Indiana license is held by Peter P. Caccavallo. The license is currently active. It was granted on 10/13/2000 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01053181B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/13/2000 (over 24 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
13000 E. 136th Street, Suite 1100, Fishers IN 46037
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