Indiana
Professional Licensing Agency
Colon and Rectal Care
Medical Licensing Board - Medical Corporation
License number
50002167A
Date granted
10/01/1981
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
7430 NORTH SHADELAND AVE #200, INDIANAPOLIS IN 46250
indianalicensing.org
ID 24828357
LAST UPDATED 2024-03-17 04:54:41 UTC
LAST UPDATED 2024-03-17 04:54:41 UTC
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