License holder summary

BASIL C GENETOS MD INC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for BASIL C GENETOS MD INC is 3030 LAKE AVE SUITE 22, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 05/07/1980 and expired on 12/31/1981.

Indiana

Professional Licensing Agency

BASIL C GENETOS MD INC
Medical Licensing Board - Medical Corporation
License number
50001745A
Date granted
05/07/1980
Date expires
12/31/1981
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3030 LAKE AVE SUITE 22, FORT WAYNE IN 46805
indianalicensing.org
ID 24826475
LAST UPDATED 2024-03-02 20:12:17 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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