Indiana
Professional Licensing Agency
Diveris Orthopedics and Sports Medicine, PC
Medical Licensing Board - Medical Corporation
License number
50004716A
Date granted
09/08/2005
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
2502 Ashbourne Court, Valparaiso IN 46385
indianalicensing.org
ID 24834813
LAST UPDATED 2024-03-30 11:07:29 UTC
LAST UPDATED 2024-03-30 11:07:29 UTC
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