Indiana
Professional Licensing Agency
Shirishkumar N. Patel
Controlled Substance Registration - Physician
License number
01043211B
Date granted
11/14/1994
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
761 WASHINGTON STREET, ROCKPORT IN 47635
indianalicensing.org
ID 5915442
LAST UPDATED 2026-07-02 07:22:39 UTC
LAST UPDATED 2026-07-02 07:22:39 UTC
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