License holder summary

GREAT LAKES ORTHO SPORTS MED is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for GREAT LAKES ORTHO SPORTS MED is 1225 KILLARNEY DRIVE, DYER IN 46311. This licensed professional license is not current. The license was granted 01/11/2000 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

GREAT LAKES ORTHO SPORTS MED
Medical Licensing Board - Medical Corporation
License number
50004194A
Date granted
01/11/2000
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1225 KILLARNEY DRIVE, DYER IN 46311
indianalicensing.org
ID 24825457
LAST UPDATED 2024-03-13 15:59:19 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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