License holder summary

FT WAYNE OPHTHAMOLOGY is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for FT WAYNE OPHTHAMOLOGY is SUITE 630 MED CENTER BLDG, 347 W BERRY STREET, FORT WAYNE IN 46802. This licensed professional license is not current. The license was granted 07/18/1977 and expired on 12/31/1983.

Indiana

Professional Licensing Agency

FT WAYNE OPHTHAMOLOGY
Medical Licensing Board - Medical Corporation
License number
50001225A
Date granted
07/18/1977
Date expires
12/31/1983
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
SUITE 630 MED CENTER BLDG, 347 W BERRY STREET, FORT WAYNE IN 46802
indianalicensing.org
ID 24826625
LAST UPDATED 2024-03-11 13:39:05 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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