License holder summary

FORT WAYNE MEDICAL is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for FORT WAYNE MEDICAL is INSTITUTE P C, 6605 EAST STATE BOULEVARD #16, FORT WAYNE IN 46815. This licensed professional license is not current. The license was granted 04/02/1996 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

FORT WAYNE MEDICAL
Medical Licensing Board - Medical Corporation
License number
50003784A
Date granted
04/02/1996
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
INSTITUTE P C, 6605 EAST STATE BOULEVARD #16, FORT WAYNE IN 46815
indianalicensing.org
ID 24826586
LAST UPDATED 2026-06-01 23:28:23 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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