License holder summary

Phillip Roberts Pate is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Phillip Roberts Pate is 2705 South Berkley Road, #B, Kokomo IN 46902. This licensed professional license is current. The license was granted 12/31/1982 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Phillip Roberts Pate
Controlled Substance Registration - Dentist
License number
12006519B
Date granted
12/31/1982
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2705 South Berkley Road, #B, Kokomo IN 46902
indianalicensing.org
ID 5106769
LAST UPDATED 2024-02-14 09:43:07 UTC

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