Indiana
Professional Licensing Agency
Coulter Family Medicine Professional Corporation
Medical Licensing Board - Medical Corporation
License number
50004454A
Date granted
09/12/2002
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1400 GRAND AVENUE, Washington IN 47501
indianalicensing.org
ID 24835313
LAST UPDATED 2024-05-05 04:15:35 UTC
LAST UPDATED 2024-05-05 04:15:35 UTC
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