Indiana
Professional Licensing Agency
FAMILY PRACTICE, INC
Medical Licensing Board - Medical Corporation
License number
50000196A
Date granted
05/28/1970
Date expires
12/31/1976
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
5717 SOUTH ANTHONY BOULEVARD, FORT WAYNE IN 46806
indianalicensing.org
ID 24826568
LAST UPDATED 2024-04-13 19:49:35 UTC
LAST UPDATED 2024-04-13 19:49:35 UTC
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