Samir N Patel
Controlled Substance Registration - Physician
Indiana 01059097B Expired
This Indiana license was held by Samir N Patel. The license is no longer active. It was granted on 05/07/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01059097B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/07/2004 (almost 21 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
St.Margaret Mercy Healthcare Center, 5454 Hohman Avenue Attn: medical staff office, Hammond IN 46320