Indiana
Professional Licensing Agency
FORT WAYNE DERMATOLOGY P C
Medical Licensing Board - Medical Corporation
License number
50001913A
Date granted
12/24/1980
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
5750 FALLS DRIVE, FORT WAYNE IN 46804
indianalicensing.org
ID 24826575
LAST UPDATED 2024-05-20 18:41:42 UTC
LAST UPDATED 2024-05-20 18:41:42 UTC
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