Indiana
Professional Licensing Agency
PRATIMA M MEHTA
Controlled Substance Registration - Physician
License number
01032516B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5825 Broadway, Suite A, Merrillville IN 46410
indianalicensing.org
ID 5929557
LAST UPDATED 2024-05-09 04:05:01 UTC
LAST UPDATED 2024-05-09 04:05:01 UTC
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