License holder summary

Greater Lafayette Retina Center, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Greater Lafayette Retina Center, PC is 1013 N. 13th St., Lafayette IN 47904. This licensed professional license is current. The license was granted 07/13/2004 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Greater Lafayette Retina Center, PC
Medical Licensing Board - Medical Corporation
License number
50004638A
Date granted
07/13/2004
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1013 N. 13th St., Lafayette IN 47904
indianalicensing.org
ID 24830060
LAST UPDATED 2024-04-14 07:39:10 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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