Indiana
Professional Licensing Agency
AVALON OBSTETRICS & GYNECOLOGY PC
Medical Licensing Board - Medical Corporation
License number
50004317A
Date granted
05/23/2001
Date expires
01/31/2006
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2510 E. Dupont, Suite 201, Fort Wayne IN 46825
indianalicensing.org
ID 24826472
LAST UPDATED 2026-05-04 14:46:54 UTC
LAST UPDATED 2026-05-04 14:46:54 UTC
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