Indiana
Professional Licensing Agency
FT WAYNE OCCUPATIONAL
Medical Licensing Board - Medical Corporation
License number
50002431A
Date granted
03/15/1983
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
PO BOX 11312, FORT WAYNE IN 46857
indianalicensing.org
ID 24826627
LAST UPDATED 2024-02-24 15:18:32 UTC
LAST UPDATED 2024-02-24 15:18:32 UTC
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