Indiana
Professional Licensing Agency
Parul Garg Pathak
Controlled Substance Registration - Physician
License number
01057543B
Date granted
05/27/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Kids First Pediatrics on 30, 1160 Joliet Street, Ste 103, Dyer IN 46311
indianalicensing.org
ID 5844605
LAST UPDATED 2024-05-01 23:48:58 UTC
LAST UPDATED 2024-05-01 23:48:58 UTC
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