License holder summary

Mahala Reta Patrick is a Medical Fellowship Permit licensed to practice in Indiana. The address on file for Mahala Reta Patrick is South Bend IN 46601. This licensed professional license is current. The license was granted 06/19/2014 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

Mahala Reta Patrick
Medical Fellowship Permit
License number
73000088A
Date granted
06/19/2014
Date expires
06/30/2015
Class
Medical Fellowship Permit
Status
Active
Address
South Bend IN 46601
indianalicensing.org
ID 27733607
LAST UPDATED 2026-06-03 16:31:44 UTC

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