License holder summary

FT WAYNE OCCUPATIONAL is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for FT WAYNE OCCUPATIONAL is PO BOX 11312, FORT WAYNE IN 46857. This licensed professional license is not current. The license was granted 03/15/1983 and expired on 01/31/1998.

Indiana

Professional Licensing Agency

FT WAYNE OCCUPATIONAL
Medical Licensing Board - Medical Corporation
License number
50002431A
Date granted
03/15/1983
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
PO BOX 11312, FORT WAYNE IN 46857
indianalicensing.org
ID 24826627
LAST UPDATED 2024-04-16 11:38:30 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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