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
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.