Indiana
Professional Licensing Agency
CERTIFIED NEUROSURGICAL
Medical Licensing Board - Medical Corporation
License number
50002273A
Date granted
03/02/1982
Date expires
01/31/1992
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
SERVICES INC, 4115 INDIANA AVENUE, FORT WAYNE IN 46807
indianalicensing.org
ID 24826504
LAST UPDATED 2026-05-21 22:13:02 UTC
LAST UPDATED 2026-05-21 22:13:02 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.