Indiana
Professional Licensing Agency
ANESTHESIA & PAIN
Medical Licensing Board - Medical Corporation
License number
50003718A
Date granted
06/22/1995
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
MANAGEMENT P C, 1627 EAST JEFFERSON BLVD, MISHAWAKA IN 46545
indianalicensing.org
ID 24831367
LAST UPDATED 2024-04-27 16:11:21 UTC
LAST UPDATED 2024-04-27 16:11:21 UTC
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