Indiana
Professional Licensing Agency
Fairhaven Obstetrics & Gynecology, INC.
Medical Licensing Board - Medical Corporation
License number
50001125A
Date granted
11/17/1976
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
301 WESTWOOD ROAD, GOSHEN IN 46526
indianalicensing.org
ID 24827422
LAST UPDATED 2024-05-16 20:02:41 UTC
LAST UPDATED 2024-05-16 20:02:41 UTC
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