Indiana
Professional Licensing Agency
C E RICHARDSON M D P C
Medical Licensing Board - Medical Corporation
License number
50003591A
Date granted
02/07/1994
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3924 SPANISH TRAIL, FORT WAYNE IN 46815
indianalicensing.org
ID 24826515
LAST UPDATED 2024-03-08 02:50:21 UTC
LAST UPDATED 2024-03-08 02:50:21 UTC
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