License holder summary

Patrick Young Park is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Patrick Young Park is 13421 Old Meridian St Suite 210, CARMEL IN 46032. This licensed professional license is current. The license was granted 06/23/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Patrick Young Park
Controlled Substance Registration - Physician
License number
01050716B
Date granted
06/23/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
13421 Old Meridian St Suite 210, CARMEL IN 46032
indianalicensing.org
ID 5831586
LAST UPDATED 2024-03-03 03:54:00 UTC

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