License holder summary

Pravin M. Patel is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Pravin M. Patel is 1704 LAFAYETTE ROAD, CRAWFORDSVILLE IN 47933. This licensed professional license is current. The license was granted 08/31/1986 and expired on 10/31/2015.

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

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