License holder summary

Divyesh Gaju Patel is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Divyesh Gaju Patel is Radiologic Associates of NW IN PC, 85 East US Highway 6, Valparaiso IN 46384. This licensed professional license is current. The license was granted 03/12/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Divyesh Gaju Patel
Controlled Substance Registration - Physician
License number
01063311B
Date granted
03/12/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiologic Associates of NW IN PC, 85 East US Highway 6, Valparaiso IN 46384
indianalicensing.org
ID 5928444
LAST UPDATED 2024-02-29 11:48:23 UTC

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