Indiana
Professional Licensing Agency
CEN FOR SURG SCIENCE & TRAUMA
Medical Licensing Board - Medical Corporation
License number
50001605A
Date granted
10/02/1979
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1633 NORTH CAPITOL AVENUE #622, INDIANAPOLIS IN 46202
indianalicensing.org
ID 24828311
LAST UPDATED 2024-03-23 04:44:53 UTC
LAST UPDATED 2024-03-23 04:44:53 UTC
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