Indiana
Professional Licensing Agency
EAST SIDE MED PROF CORP
Medical Licensing Board - Medical Corporation
License number
50002613A
Date granted
10/30/1984
Date expires
01/31/1987
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3229 BROADWAY #105, GARY IN IN 46409
indianalicensing.org
ID 24827261
LAST UPDATED 2024-03-10 01:17:55 UTC
LAST UPDATED 2024-03-10 01:17:55 UTC
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