License holder summary

Fort Wayne Pediatrics, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Fort Wayne Pediatrics, PC is 1234 EAST DUPONT ROAD, FORT WAYNE IN 46825. This licensed professional license is current. The license was granted 02/21/1979 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Fort Wayne Pediatrics, PC
Medical Licensing Board - Medical Corporation
License number
50001496A
Date granted
02/21/1979
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1234 EAST DUPONT ROAD, FORT WAYNE IN 46825
indianalicensing.org
ID 24826606
LAST UPDATED 2024-03-15 10:23:58 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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