Indiana
Professional Licensing Agency
Sundip Somabhai Patel
Controlled Substance Registration-Osteopathic Physician
License number
02004130B
Date granted
12/14/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St Joseph Hospital, 700 Broadway, Fort Wayne IN 46802
indianalicensing.org
ID 5800874
LAST UPDATED 2024-03-13 12:37:31 UTC
LAST UPDATED 2024-03-13 12:37:31 UTC
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