Indiana
Professional Licensing Agency
Ear Nose Throat of Porter Co
Medical Licensing Board - Medical Corporation
License number
50004212A
Date granted
03/09/2000
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1551 Sturdy Road, Valparaiso IN 46383
indianalicensing.org
ID 24834826
LAST UPDATED 2024-03-14 10:59:09 UTC
LAST UPDATED 2024-03-14 10:59:09 UTC
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