Indiana
Professional Licensing Agency
FT WAYNE OTOLARYNGOLOGY
Medical Licensing Board - Medical Corporation
License number
50000623A
Date granted
12/06/1972
Date expires
01/31/1996
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2730 EAST STATE BOULEVARD, FORT WAYNE IN 46805
indianalicensing.org
ID 24826656
LAST UPDATED 2024-04-09 07:00:19 UTC
LAST UPDATED 2024-04-09 07:00:19 UTC
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