Indiana
Professional Licensing Agency
Great Lakes Podiatry Service PC
Podiatric Medicine Board - Podiatric Corporation
License number
52000089A
Date granted
02/15/2001
Date expires
01/31/2012
Class
Podiatric Medicine Board - Podiatric Corporation
Status
Expired
Address
1651 SHERWOOD DRIVE, Valparaiso IN 46385
indianalicensing.org
ID 24920926
LAST UPDATED 2026-05-07 04:47:34 UTC
LAST UPDATED 2026-05-07 04:47:34 UTC
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