Indiana
Professional Licensing Agency
Bloomington ENT, P.C.
Medical Licensing Board - Medical Corporation
License number
50004346A
Date granted
10/26/2001
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1791 West Third Street, Bloomington IN 47404
indianalicensing.org
ID 24823896
LAST UPDATED 2024-04-15 20:50:07 UTC
LAST UPDATED 2024-04-15 20:50:07 UTC
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