License holder summary

GMM INTERNAL MED ASSOC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for GMM INTERNAL MED ASSOC is 2456 LAKE AVENUE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 07/26/1972 and expired on 01/31/1996.

Indiana

Professional Licensing Agency

GMM INTERNAL MED ASSOC
Medical Licensing Board - Medical Corporation
License number
50000525A
Date granted
07/26/1972
Date expires
01/31/1996
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2456 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 24826663
LAST UPDATED 2024-04-03 20:12:38 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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