Indiana
Professional Licensing Agency
KUNDANBALA B PATEL
Controlled Substance Registration - Physician
License number
01031735B
Date granted
07/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
157 W 8TH ST, FAIRMOUNT IN 46928
indianalicensing.org
ID 5851534
LAST UPDATED 2026-06-07 11:19:36 UTC
LAST UPDATED 2026-06-07 11:19:36 UTC
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