Indiana
Professional Licensing Agency
Pravin M. Patel
Controlled Substance Registration - Physician
License number
01030007B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1704 LAFAYETTE ROAD, CRAWFORDSVILLE IN 47933
indianalicensing.org
ID 5840451
LAST UPDATED 2024-03-12 17:14:31 UTC
LAST UPDATED 2024-03-12 17:14:31 UTC
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