License holder summary

FT WAYNE PULMONARY CONSU is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for FT WAYNE PULMONARY CONSU is 2828 FAIRFIELD AVE, FORT WAYNE IN 46807. This licensed professional license is not current. The license was granted 12/13/1977 and expired on 01/31/1990.

Indiana

Professional Licensing Agency

FT WAYNE PULMONARY CONSU
Medical Licensing Board - Medical Corporation
License number
50001301A
Date granted
12/13/1977
Date expires
01/31/1990
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2828 FAIRFIELD AVE, FORT WAYNE IN 46807
indianalicensing.org
ID 24826631
LAST UPDATED 2024-04-21 13:22:58 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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