License holder summary

COLON RECTAL SURGEONS OF FORT WAYNE PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for COLON RECTAL SURGEONS OF FORT WAYNE PC is 7900 WEST JEFFERSON BLVD SUITE 303, Fort Wayne IN 46804. This licensed professional license is not current. The license was granted 06/13/2000 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

COLON RECTAL SURGEONS OF FORT WAYNE PC
Medical Licensing Board - Medical Corporation
License number
50004238A
Date granted
06/13/2000
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
7900 WEST JEFFERSON BLVD SUITE 303, Fort Wayne IN 46804
indianalicensing.org
ID 24826518
LAST UPDATED 2024-04-28 23:13:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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