Indiana
Professional Licensing Agency
Favor Vein Clinic, PC
Medical Licensing Board - Medical Corporation
License number
50004652A
Date granted
09/03/2004
Date expires
01/31/2008
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
10107 N. 575 E., Demotte IN 46310
indianalicensing.org
ID 24825389
LAST UPDATED 2024-04-24 12:18:38 UTC
LAST UPDATED 2024-04-24 12:18:38 UTC
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