PIYUSH R PATEL
Controlled Substance Registration - Physician
Indiana 01038196B Expired
This Indiana license was held by PIYUSH R PATEL. The license is no longer active. It was granted on 09/21/1990 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01038196B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/21/1990 (over 35 years ago)
- Expiry Date: 06/30/1995 (almost 31 years ago)
LOCATIONS
A Address
PORTER MEMORIAL HOSP/MED SURG CNTR, 3630 SOUTH WILLOWCREEK ROAD, PORTAGE IN 46368