Indiana
Professional Licensing Agency
Pukur Patel
Controlled Substance Registration - Physician
License number
01058042B
Date granted
09/12/2003
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Counseling Assoc. of Southeren Indiana, 1919 State St, Ste #18, New Albany IN 47150
indianalicensing.org
ID 5903577
LAST UPDATED 2026-03-29 07:56:01 UTC
LAST UPDATED 2026-03-29 07:56:01 UTC
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