Indiana
Professional Licensing Agency
HAWTHORNE FAMILY MEDICINE P C
Medical Licensing Board - Medical Corporation
License number
50003328A
Date granted
03/20/1991
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
5302 EAST WASHINGTON STREET, INDIANAPOLIS IN 46219
indianalicensing.org
ID 24828620
LAST UPDATED 2024-04-14 13:04:33 UTC
LAST UPDATED 2024-04-14 13:04:33 UTC
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