Indiana
Professional Licensing Agency
Summit Retina Consultants, P.C.
Medical Licensing Board - Medical Corporation
License number
50005075A
Date granted
08/07/2009
Date expires
01/31/2012
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
6828 Inverness Drive, Fort Wayne IN 46804
indianalicensing.org
ID 24827025
LAST UPDATED 2024-04-17 10:20:53 UTC
LAST UPDATED 2024-04-17 10:20:53 UTC
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