Indiana
Professional Licensing Agency
COLUMBUS EXTENDED PRACTICE
Medical Licensing Board - Medical Corporation
License number
50003805A
Date granted
12/27/1993
Date expires
01/31/2002
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
INC P C, 1950 DOCTORS PARK DRIVE, COLUMBUS IN 47203
indianalicensing.org
ID 24824904
LAST UPDATED 2024-04-24 19:09:12 UTC
LAST UPDATED 2024-04-24 19:09:12 UTC
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