License holder summary

HOSPITAL EMERGENCY PHYS is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for HOSPITAL EMERGENCY PHYS is 4410 EXECUTIVE BLVD SUITE 14A, FORT WAYNE IN 46808. This licensed professional license is not current. The license was granted 04/13/1971 and expired on 06/30/1983.

Indiana

Professional Licensing Agency

HOSPITAL EMERGENCY PHYS
Medical Licensing Board - Medical Corporation
License number
50000278A
Date granted
04/13/1971
Date expires
06/30/1983
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
4410 EXECUTIVE BLVD SUITE 14A, FORT WAYNE IN 46808
indianalicensing.org
ID 24826681
LAST UPDATED 2024-05-16 08:53:35 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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