Indiana
Professional Licensing Agency
Ft Wayne Urology Corporation
Medical Licensing Board - Medical Corporation
License number
50000451A
Date granted
02/23/1972
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
11141 Parkview Plaza Drive, Suite 320, Fort Wayne IN 46845
indianalicensing.org
ID 24826636
LAST UPDATED 2024-04-13 17:06:12 UTC
LAST UPDATED 2024-04-13 17:06:12 UTC
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