License holder summary

Waterford Street Family Medicine, P.C. is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Waterford Street Family Medicine, P.C. is 121 E. Waterford, Wakarusa IN 46573. This licensed professional license is current. The license was granted 08/20/2008 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Waterford Street Family Medicine, P.C.
Medical Licensing Board - Medical Corporation
License number
50005036A
Date granted
08/20/2008
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
121 E. Waterford, Wakarusa IN 46573
indianalicensing.org
ID 24835214
LAST UPDATED 2024-03-02 04:23:29 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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