Indiana
Professional Licensing Agency
I V & S P C
Medical Licensing Board - Medical Corporation
License number
50003434A
Date granted
05/26/1992
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2900 WEST JEFFERSON BOULEVARD, FORT WAYNE IN 46802
indianalicensing.org
ID 24826686
LAST UPDATED 2024-01-26 22:08:54 UTC
LAST UPDATED 2024-01-26 22:08:54 UTC
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