License holder summary

BLOOMINGTON DERMATOLOGY is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for BLOOMINGTON DERMATOLOGY is CLINIC P C, 700 SOUTH COLLEGE AVENUE # C, BLOOMINGTON IN 47403. This licensed professional license is not current. The license was granted 08/29/1994 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

BLOOMINGTON DERMATOLOGY
Medical Licensing Board - Medical Corporation
License number
50003643A
Date granted
08/29/1994
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
CLINIC P C, 700 SOUTH COLLEGE AVENUE # C, BLOOMINGTON IN 47403
indianalicensing.org
ID 24823892
LAST UPDATED 2024-02-17 05:36:50 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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