License holder summary

Patricia Isabel Gomez Modad is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Patricia Isabel Gomez Modad is Anderson OBGYN Care, LLC, 1601 Medical Arts Blvd., Ste 203, Anderson IN 46011. This licensed professional license is current. The license was granted 03/26/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Patricia Isabel Gomez Modad
Controlled Substance Registration - Physician
License number
01053870B
Date granted
03/26/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Anderson OBGYN Care, LLC, 1601 Medical Arts Blvd., Ste 203, Anderson IN 46011
indianalicensing.org
ID 5817839
LAST UPDATED 2024-02-22 21:19:59 UTC

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