Indiana
Professional Licensing Agency
Associated Ear, Nose, and Throat Specialists, PC
Medical Licensing Board - Medical Corporation
License number
50004650A
Date granted
09/01/2004
Date expires
01/31/2012
Class
Medical Licensing Board - Medical Corporation
Status
Expired Non-Renewable
Address
2102 E. Evans Ave, Ste 114, Valparaiso IN 46383
indianalicensing.org
ID 24834766
LAST UPDATED 2024-01-26 10:51:18 UTC
LAST UPDATED 2024-01-26 10:51:18 UTC
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