Indiana
Professional Licensing Agency
FORT WAYNE NEPHROLOGY
Medical Licensing Board - Medical Corporation
License number
50001074A
Date granted
06/23/1976
Date expires
01/31/1990
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2828 FAIRFIELD AVENUE, FORT WAYNE IN 46807
indianalicensing.org
ID 24826593
LAST UPDATED 2024-04-20 08:45:06 UTC
LAST UPDATED 2024-04-20 08:45:06 UTC
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