License holder summary

Thomas A. Kintanar, Inc. P.C. dba Churubusso Family Medicine-Urgent Care, Inc. is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Thomas A. Kintanar, Inc. P.C. dba Churubusso Family Medicine-Urgent Care, Inc. is 2510 EAST DUPONT ROAD #214, FORT WAYNE IN 46825. This licensed professional license is not current. The license was granted 08/25/1986 and expired on 01/31/2014.

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

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