Indiana
Professional Licensing Agency
Bristol Street Pediatric Associates, P.C.
Medical Licensing Board - Medical Corporation
License number
50004996A
Date granted
02/05/2008
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired Non-Renewable
Address
1627 Bristol Street, Elkhart IN 46514
indianalicensing.org
ID 24825663
LAST UPDATED 2024-02-19 21:01:44 UTC
LAST UPDATED 2024-02-19 21:01:44 UTC
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