Indiana
Professional Licensing Agency
ALLEN COUNTY
Medical Licensing Board - Medical Corporation
License number
50002913A
Date granted
12/19/1986
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
OPHTHALMOLOGY P C, 3030 LAKE AVENUE #32, FORT WAYNE IN 46805
indianalicensing.org
ID 24826427
LAST UPDATED 2024-04-25 20:11:02 UTC
LAST UPDATED 2024-04-25 20:11:02 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.