License holder summary

Pravin Pratap is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Pravin Pratap is St Joseph Regional Medical Center, 1915 Lake Avenue, Plymouth IN 46563. This licensed professional license is current. The license was granted 09/20/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Pravin Pratap
Controlled Substance Registration - Physician
License number
01073197B
Date granted
09/20/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Joseph Regional Medical Center, 1915 Lake Avenue, Plymouth IN 46563
indianalicensing.org
ID 5910664
LAST UPDATED 2024-03-21 19:59:58 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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