Indiana
Professional Licensing Agency
Goshen Surgical Assoc, PC
Medical Licensing Board - Medical Corporation
License number
50001564A
Date granted
07/27/1979
Date expires
01/31/2012
Class
Medical Licensing Board - Medical Corporation
Status
Expired Non-Renewable
Address
101 MARILYN AVE, GOSHEN IN 46526
indianalicensing.org
ID 24827428
LAST UPDATED 2024-04-09 14:05:15 UTC
LAST UPDATED 2024-04-09 14:05:15 UTC
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