License holder summary

FORT WAYNE OB GYN P C is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for FORT WAYNE OB GYN P C is 1818 CAREW STREET # 300, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 06/13/1973 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

FORT WAYNE OB GYN P C
Medical Licensing Board - Medical Corporation
License number
50000708A
Date granted
06/13/1973
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1818 CAREW STREET # 300, FORT WAYNE IN 46805
indianalicensing.org
ID 24826599
LAST UPDATED 2024-02-24 22:11:06 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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