Indiana
Professional Licensing Agency
MITA RAOJI BHAI PATEL
Controlled Substance Registration - Physician
License number
01039025B
Date granted
06/12/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1608 N Lebanon St, Lebanon IN 46052
indianalicensing.org
ID 5883965
LAST UPDATED 2024-05-07 14:11:31 UTC
LAST UPDATED 2024-05-07 14:11:31 UTC
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