License holder summary

Jayesh Mohanlal Madhani is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jayesh Mohanlal Madhani is 2075 INDIANAPOLIS BOULEVARD, WHITING IN 46394. This licensed professional license is current. The license was granted 08/15/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jayesh Mohanlal Madhani
Controlled Substance Registration - Physician
License number
01044088B
Date granted
08/15/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2075 INDIANAPOLIS BOULEVARD, WHITING IN 46394
indianalicensing.org
ID 5935369
LAST UPDATED 2024-04-11 20:38:26 UTC

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