License holder summary

Edison Lakes Oral Surgery, P.C. is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Edison Lakes Oral Surgery, P.C. is 270 E. Day Road, Suite 260, Mishawaka IN 46545. This licensed professional license is current. The license was granted 08/31/2007 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Edison Lakes Oral Surgery, P.C.
Medical Licensing Board - Medical Corporation
License number
50004957A
Date granted
08/31/2007
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
270 E. Day Road, Suite 260, Mishawaka IN 46545
indianalicensing.org
ID 24831403
LAST UPDATED 2024-03-08 11:21:40 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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