Indiana
Professional Licensing Agency
EAR NOSE THROAT FACE SUR
Medical Licensing Board - Medical Corporation
License number
50000869A
Date granted
09/25/1974
Date expires
01/31/1996
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
711 RIVER DRIVE, MARION IN 46952
indianalicensing.org
ID 24830567
LAST UPDATED 2024-03-31 10:54:52 UTC
LAST UPDATED 2024-03-31 10:54:52 UTC
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