Indiana
Professional Licensing Agency
Fort Wayne Medical Lab Corp
Medical Licensing Board - Medical Corporation
License number
50000070A
Date granted
03/27/1969
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
2470 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 24826589
LAST UPDATED 2026-05-05 21:00:14 UTC
LAST UPDATED 2026-05-05 21:00:14 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.