Indiana
Professional Licensing Agency
Mundathaje I. Bhat
Controlled Substance Registration - Physician
License number
01029889B
Date granted
06/30/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSPITAL/Medical Staff Office, 615 N. Michigan St. 615 NORTH MICHIGAN STREET, SOUTH BEND IN 46601
indianalicensing.org
ID 5921800
LAST UPDATED 2024-05-04 15:51:40 UTC
LAST UPDATED 2024-05-04 15:51:40 UTC
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