Indiana
Professional Licensing Agency
ACTIVE ATHLETE SPORTS MEDICINE PSC
Medical Licensing Board - Medical Corporation
License number
50004332A
Date granted
08/15/2001
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2241 STATE STREET SUITE D, New Albany IN 47150
indianalicensing.org
ID 24832378
LAST UPDATED 2024-02-14 03:50:27 UTC
LAST UPDATED 2024-02-14 03:50:27 UTC
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