Indiana
Professional Licensing Agency
OPHTHALMOLOGICAL ASSOC
Medical Licensing Board - Medical Corporation
License number
50000145A
Date granted
12/11/1969
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3030 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 24826838
LAST UPDATED 2024-04-13 15:41:17 UTC
LAST UPDATED 2024-04-13 15:41:17 UTC
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