Indiana
Professional Licensing Agency
Pankaj Amrit Patel
Controlled Substance Registration - Physician
License number
01049700B
Date granted
01/30/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
17501 Generations Drive, South Bend IN 46635
indianalicensing.org
ID 5921859
LAST UPDATED 2024-04-07 08:03:47 UTC
LAST UPDATED 2024-04-07 08:03:47 UTC
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