License holder summary

KANTILAL S PATEL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KANTILAL S PATEL is 525 527 WEST CHICAGO AVENUE, East Chicago IN 46312. This licensed professional license is current. The license was granted 05/14/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

KANTILAL S PATEL
Controlled Substance Registration - Physician
License number
01043474B
Date granted
05/14/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
525 527 WEST CHICAGO AVENUE, East Chicago IN 46312
indianalicensing.org
ID 5845494
LAST UPDATED 2024-02-02 12:07:56 UTC

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