Indiana
Professional Licensing Agency
Samir Bipin Patel
Controlled Substance Registration - Physician
License number
01046230B
Date granted
04/03/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895899
LAST UPDATED 2024-05-09 10:34:31 UTC
LAST UPDATED 2024-05-09 10:34:31 UTC
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