License holder summary

LAKE CO ANESTHESIOLOGIST is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for LAKE CO ANESTHESIOLOGIST is 2102 LITUNICA AVENUE, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 09/27/1977 and expired on 01/31/1994.

Indiana

Professional Licensing Agency

LAKE CO ANESTHESIOLOGIST
Medical Licensing Board - Medical Corporation
License number
50001262A
Date granted
09/27/1977
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2102 LITUNICA AVENUE, EAST CHICAGO IN 46312
indianalicensing.org
ID 24825560
LAST UPDATED 2024-03-06 16:11:08 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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