Indiana
Professional Licensing Agency
Hardin Pediatric Anesthesia Professional Corporation
Medical Licensing Board - Medical Corporation
License number
50005194A
Date granted
11/28/2012
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
11205 W. Sycamore Hills Drive, Fort Wayne IN 46814
indianalicensing.org
ID 24826673
LAST UPDATED 2024-04-05 02:41:40 UTC
LAST UPDATED 2024-04-05 02:41:40 UTC
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