Indiana
Professional Licensing Agency
Bloomington Physician Services, PC
Medical Licensing Board - Medical Corporation
License number
50005168A
Date granted
02/14/2012
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
200 Corporate Blvd., Suite 201, Lafayette LA 70508
indianalicensing.org
ID 24830032
LAST UPDATED 2024-04-26 15:08:59 UTC
LAST UPDATED 2024-04-26 15:08:59 UTC
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