License holder summary

EAR NOSE THROAT FACE SUR is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for EAR NOSE THROAT FACE SUR is 711 RIVER DRIVE, MARION IN 46952. This licensed professional license is not current. The license was granted 09/25/1974 and expired on 01/31/1996.

Indiana

Professional Licensing Agency

EAR NOSE THROAT FACE SUR
Medical Licensing Board - Medical Corporation
License number
50000869A
Date granted
09/25/1974
Date expires
01/31/1996
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
711 RIVER DRIVE, MARION IN 46952
indianalicensing.org
ID 24830567
LAST UPDATED 2024-03-24 13:27:30 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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