Indiana
Professional Licensing Agency
Family Phys South Indianapolis
Medical Licensing Board - Medical Corporation
License number
50001556A
Date granted
07/17/1979
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
6801 SOUTH GRAY ROAD SUITE A, INDIANAPOLIS IN 46227
indianalicensing.org
ID 24828518
LAST UPDATED 2024-05-08 08:26:47 UTC
LAST UPDATED 2024-05-08 08:26:47 UTC
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