License holder summary

I S KWAK M D INC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for I S KWAK M D INC is 2222 TIMBERBROOK TRAIL, FORT WAYNE IN 46845. This licensed professional license is not current. The license was granted 06/15/1979 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

I S KWAK M D INC
Medical Licensing Board - Medical Corporation
License number
50001528A
Date granted
06/15/1979
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2222 TIMBERBROOK TRAIL, FORT WAYNE IN 46845
indianalicensing.org
ID 24826683
LAST UPDATED 2024-05-01 16:38:05 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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