Indiana
Professional Licensing Agency
FAMILY & SPECIALTY MEDICAL
Medical Licensing Board - Medical Corporation
License number
50004068A
Date granted
07/23/1998
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
CENTER P C, 323 J STREET, LAPORTE IN 46350
indianalicensing.org
ID 24829927
LAST UPDATED 2026-04-30 23:04:41 UTC
LAST UPDATED 2026-04-30 23:04:41 UTC
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