License holder summary

FOUR WEST FAMILY PRACTICE INC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for FOUR WEST FAMILY PRACTICE INC is 420 WEST FOURTH STREET #202, MISHAWAKA IN 46544. This licensed professional license is not current. The license was granted 11/26/1980 and expired on 01/31/1996.

Indiana

Professional Licensing Agency

FOUR WEST FAMILY PRACTICE INC
Medical Licensing Board - Medical Corporation
License number
50001883A
Date granted
11/26/1980
Date expires
01/31/1996
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
420 WEST FOURTH STREET #202, MISHAWAKA IN 46544
indianalicensing.org
ID 24831379
LAST UPDATED 2024-02-10 12:11:27 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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