Indiana
Professional Licensing Agency
Dixitkumar N. Modi
Controlled Substance Registration - Physician
License number
01066422B
Date granted
04/02/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Decautr County Memorial Hospital, 720 North Lincoln Street, Greensburg IN 47240
indianalicensing.org
ID 5860987
LAST UPDATED 2024-02-29 14:55:58 UTC
LAST UPDATED 2024-02-29 14:55:58 UTC
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