Indiana
Professional Licensing Agency
GENERAL AND VASCULAR
Medical Licensing Board - Medical Corporation
License number
50003705A
Date granted
04/06/1995
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
SURGERY P C - CENTENNIAL MED SQUARE, 621 MEMORIAL DRIVE, SOUTH BEND IN 46601
indianalicensing.org
ID 24834012
LAST UPDATED 2024-02-27 10:08:53 UTC
LAST UPDATED 2024-02-27 10:08:53 UTC
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