Indiana
Professional Licensing Agency
Psychiatric Innovations, P.C.
Medical Licensing Board - Medical Corporation
License number
50004833A
Date granted
02/27/2006
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
410 Royal Crest Drive, Fort Wayne IN 46814
indianalicensing.org
ID 24826939
LAST UPDATED 2024-02-24 19:36:20 UTC
LAST UPDATED 2024-02-24 19:36:20 UTC
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