Indiana
Professional Licensing Agency
Sujal D. Panchal
Controlled Substance Registration - Physician
License number
01056179B
Date granted
02/22/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Logansport Memorial Hospital, 1025 Michigan Avenue, Logansport IN 46947
indianalicensing.org
ID 5885834
LAST UPDATED 2024-02-26 11:32:37 UTC
LAST UPDATED 2024-02-26 11:32:37 UTC
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