License holder summary

Advanced Dermatology of Northern Indiana, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Advanced Dermatology of Northern Indiana, PC is 1753 Fulton St., Ste C, Elkhart IN 46514. This licensed professional license is current. The license was granted 02/19/2004 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Advanced Dermatology of Northern Indiana, PC
Medical Licensing Board - Medical Corporation
License number
50004595A
Date granted
02/19/2004
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1753 Fulton St., Ste C, Elkhart IN 46514
indianalicensing.org
ID 24825638
LAST UPDATED 2024-03-22 06:39:50 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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