Indiana
Professional Licensing Agency
C V S A P C
Medical Licensing Board - Medical Corporation
License number
50002574A
Date granted
07/09/1984
Date expires
01/31/2002
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
8684 CONNECTICUT STREET, MERRILLVILLE IN 46410
indianalicensing.org
ID 24830794
LAST UPDATED 2024-03-18 15:28:26 UTC
LAST UPDATED 2024-03-18 15:28:26 UTC
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