ROBERT ALLAN PENN JR

Controlled Substance Registration - Physician

Indiana  01034567B   Expired

This Indiana license was held by ROBERT ALLAN PENN JR. The license is no longer active. It was granted on 01/12/1986 and expired on 01/31/1986

LICENSE DETAILS

  • License Number: 01034567B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 01/12/1986 (over 40 years ago)
  • Expiry Date: 01/31/1986 (over 40 years ago)

LOCATIONS

A Address

3820 CENTRAL AVENUE, LAKE STATION IN 46405