License holder summary

ENT HEAD & NECK & FACIAL is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for ENT HEAD & NECK & FACIAL is SURGERY P C, 330 N WABASH AVE STE 410, MARION IN 46952. This licensed professional license is not current. The license was granted 07/27/1993 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

ENT HEAD & NECK & FACIAL
Medical Licensing Board - Medical Corporation
License number
50003533A
Date granted
07/27/1993
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
SURGERY P C, 330 N WABASH AVE STE 410, MARION IN 46952
indianalicensing.org
ID 24830564
LAST UPDATED 2024-04-25 18:20:44 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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