Indiana
Professional Licensing Agency
Indiana Heart and Vascular Institute
Medical Licensing Board - Medical Corporation
License number
50004974A
Date granted
11/05/2007
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1000 Washington Street, Michigan City IN 46360
indianalicensing.org
ID 24831215
LAST UPDATED 2026-05-27 02:12:30 UTC
LAST UPDATED 2026-05-27 02:12:30 UTC
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