License holder summary

SOUTHERN INDIANA UROLOGY is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for SOUTHERN INDIANA UROLOGY is ASSOCIATES P C, 5899 EAST KINGS ROAD, BLOOMINGTON IN 47408. This licensed professional license is not current. The license was granted 07/06/1989 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

SOUTHERN INDIANA UROLOGY
Medical Licensing Board - Medical Corporation
License number
50003142A
Date granted
07/06/1989
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
ASSOCIATES P C, 5899 EAST KINGS ROAD, BLOOMINGTON IN 47408
indianalicensing.org
ID 24824093
LAST UPDATED 2024-02-26 14:01:02 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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