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
LAST UPDATED 2024-03-03 03:54:00 UTC
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