Indiana
Professional Licensing Agency
Theodosios Peter Patras
Controlled Substance Registration - Physician
License number
01071631B
Date granted
08/24/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Western Indiana Physicians, 1606 North 7th Street, Terre Haute IN 47804-2706
indianalicensing.org
ID 5926782
LAST UPDATED 2024-03-07 11:48:53 UTC
LAST UPDATED 2024-03-07 11:48:53 UTC
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