Indiana
Professional Licensing Agency
Advanced Internal Medicine of Southern Indiana, PC
Medical Licensing Board - Medical Corporation
License number
50004617A
Date granted
05/05/2004
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired Non-Renewable
Address
2200 Market St., Ste 400, Charlestown IN 47111
indianalicensing.org
ID 24824701
LAST UPDATED 2024-02-04 08:55:57 UTC
LAST UPDATED 2024-02-04 08:55:57 UTC
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