Indiana
Professional Licensing Agency
FT WAYNE ANESTHESIA, PC
Medical Licensing Board - Medical Corporation
License number
50004382A
Date granted
12/31/2001
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
14919 INDIAN CREEK ROAD, Fort Wayne IN 46814
indianalicensing.org
ID 24826655
LAST UPDATED 2024-03-31 10:16:17 UTC
LAST UPDATED 2024-03-31 10:16:17 UTC
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