Indiana
Professional Licensing Agency
Jatinder K. Kansal
Controlled Substance Registration - Physician
License number
01032298B
Date granted
10/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8969 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5890499
LAST UPDATED 2024-03-27 19:55:05 UTC
LAST UPDATED 2024-03-27 19:55:05 UTC
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