Indiana
Professional Licensing Agency
Thomas A. Kintanar, Inc. P.C. dba Churubusso Family Medicine-Urgent Care, Inc.
Medical Licensing Board - Medical Corporation
License number
50002870A
Date granted
08/25/1986
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2510 EAST DUPONT ROAD #214, FORT WAYNE IN 46825
indianalicensing.org
ID 24827046
LAST UPDATED 2024-04-20 02:34:31 UTC
LAST UPDATED 2024-04-20 02:34:31 UTC
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