License holder summary

I P A OF NORTHWEST INDIANA P C is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for I P A OF NORTHWEST INDIANA P C is 1619 WEST FIFTH AVE, GARY IN 46404. This licensed professional license is not current. The license was granted 11/27/1984 and expired on 01/31/1990.

Indiana

Professional Licensing Agency

I P A OF NORTHWEST INDIANA P C
Medical Licensing Board - Medical Corporation
License number
50002624A
Date granted
11/27/1984
Date expires
01/31/1990
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1619 WEST FIFTH AVE, GARY IN 46404
indianalicensing.org
ID 24827294
LAST UPDATED 2024-02-24 00:41:48 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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