Indiana
Professional Licensing Agency
Allen County Internal Medicine P.C.
Medical Licensing Board - Medical Corporation
License number
50005259A
Date granted
06/09/2014
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
8824 Crestfield ct., Fort Wayne IN 46835
indianalicensing.org
ID 24826428
LAST UPDATED 2024-05-21 00:48:42 UTC
LAST UPDATED 2024-05-21 00:48:42 UTC
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