License holder summary

GHANSHYAM PATEL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GHANSHYAM PATEL is 1400 S LAKE PARK AVENUE #405, HOBART IN 46342. This licensed professional license is not current. The license was granted 07/08/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

GHANSHYAM PATEL
Controlled Substance Registration - Physician
License number
01035197B
Date granted
07/08/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1400 S LAKE PARK AVENUE #405, HOBART IN 46342
indianalicensing.org
ID 5867140
LAST UPDATED 2024-05-18 11:38:12 UTC

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