License holder summary

Patrick Michael Holly is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Patrick Michael Holly is LLutheran Medical Group, 6404 Rothman Rd, Fort Wayne IN 46835. This licensed professional license is current. The license was granted 07/01/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Patrick Michael Holly
Controlled Substance Registration - Physician
License number
01042777B
Date granted
07/01/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
LLutheran Medical Group, 6404 Rothman Rd, Fort Wayne IN 46835
indianalicensing.org
ID 5854162
LAST UPDATED 2026-06-15 05:41:10 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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