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 2024-03-13 16:21:57 UTC
LAST UPDATED 2024-03-13 16:21:57 UTC
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