Indiana
Professional Licensing Agency
Family Practice of Jay County
Medical Licensing Board - Medical Corporation
License number
50004306A
Date granted
03/02/2001
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1927 SOUTH NANDEL LANE, Portland IN 47371
indianalicensing.org
ID 24833111
LAST UPDATED 2024-05-12 17:59:18 UTC
LAST UPDATED 2024-05-12 17:59:18 UTC
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