License holder summary

Patrick Steven Gentile is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Patrick Steven Gentile is SOUTH BEND CLINIC P O BOX 1755, 211 NORTH EDDY AT LASALLE, SOUTH BEND IN 46634. This licensed professional license is not current. The license was granted 12/03/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Patrick Steven Gentile
Controlled Substance Registration - Physician
License number
01033105B
Date granted
12/03/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SOUTH BEND CLINIC P O BOX 1755, 211 NORTH EDDY AT LASALLE, SOUTH BEND IN 46634
indianalicensing.org
ID 5921876
LAST UPDATED 2024-04-05 23:24:29 UTC

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