License holder summary

GREAT LAKES ANESTHESIA P C is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for GREAT LAKES ANESTHESIA P C is Great Lakes Anesthesia, 500 N. Nappanee Street, Suite 11-B, Elkhart IN 46514. This licensed professional license is current. The license was granted 09/13/1999 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

GREAT LAKES ANESTHESIA P C
Medical Licensing Board - Medical Corporation
License number
50004164A
Date granted
09/13/1999
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
Great Lakes Anesthesia, 500 N. Nappanee Street, Suite 11-B, Elkhart IN 46514
indianalicensing.org
ID 24825656
LAST UPDATED 2024-05-01 15:41:52 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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