PETER RANDOLPH REIBEL
Controlled Substance Registration - Dentist
Indiana 12005746B Expired
This Indiana license was held by PETER RANDOLPH REIBEL. The license is no longer active. It was granted on 04/01/1996 and expired on 03/01/2004
LICENSE DETAILS
- License Number: 12005746B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/01/1996 (about 29 years ago)
- Expiry Date: 03/01/2004 (over 21 years ago)
LOCATIONS
A Address
2015 WESTERN AVENUE SUITE 301, South Bend IN 46629