Indiana
Professional Licensing Agency
Amy A Patel
Controlled Substance Registration - Physician
License number
01058289B
Date granted
10/29/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Whiting Medical Center, 2075 Indianapolis Blvd., Whiting IN 46394
indianalicensing.org
ID 5935289
LAST UPDATED 2024-04-23 16:38:14 UTC
LAST UPDATED 2024-04-23 16:38:14 UTC
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