Mukund Bhogendrabhai Patel

Controlled Substance Registration - Physician

Indiana  01046561F   Active

This Indiana license is held by Mukund Bhogendrabhai Patel. The license is currently active. It was granted on 05/10/2000 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01046561F
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 05/10/2000 (about 26 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Valparaiso Outpatient Surgery Center Dept of Anesthesia, 1900 Roosevelt Road, Valparaiso IN 46383