Indiana
Professional Licensing Agency
FAYETTE FAMILY PRACTICE
Medical Licensing Board - Medical Corporation
License number
50001761A
Date granted
06/09/1980
Date expires
12/31/1980
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
R R #1, CONNERSVILLE IN 47331
indianalicensing.org
ID 24825027
LAST UPDATED 2026-05-05 20:40:04 UTC
LAST UPDATED 2026-05-05 20:40:04 UTC
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