Indiana
Professional Licensing Agency
CARDIOTHORACIC SURGERY
Medical Licensing Board - Medical Corporation
License number
50002770A
Date granted
11/22/1985
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
OF SOUTH BEND PC, 707 NORTH MICHIGAN #501, SOUTH BEND IN 46601
indianalicensing.org
ID 24833920
LAST UPDATED 2024-02-28 20:22:20 UTC
LAST UPDATED 2024-02-28 20:22:20 UTC
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