Indiana
Professional Licensing Agency
Kailas Deepak Dave
Controlled Substance Registration - Physician
License number
01067767B
Date granted
02/04/2010
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Kosciusko Community Hospital, 2501 E Center Street 3rd floor, Warsaw IN 46582
indianalicensing.org
ID 5932646
LAST UPDATED 2024-04-17 19:02:37 UTC
LAST UPDATED 2024-04-17 19:02:37 UTC
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