License holder summary

PIYUSH R PATEL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PIYUSH R PATEL is PORTER MEMORIAL HOSP/MED SURG CNTR, 3630 SOUTH WILLOWCREEK ROAD, PORTAGE IN 46368. This licensed professional license is not current. The license was granted 09/21/1990 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

PIYUSH R PATEL
Controlled Substance Registration - Physician
License number
01038196B
Date granted
09/21/1990
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PORTER MEMORIAL HOSP/MED SURG CNTR, 3630 SOUTH WILLOWCREEK ROAD, PORTAGE IN 46368
indianalicensing.org
ID 5911186
LAST UPDATED 2024-02-27 20:25:20 UTC

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