Indiana
Professional Licensing Agency
Indiana Plastic Surgery Center, PC
Medical Licensing Board - Medical Corporation
License number
50004814A
Date granted
01/10/2006
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1818 CAREW ST, SUITE 250, Fort Wayne IN 46805
indianalicensing.org
ID 24826707
LAST UPDATED 2026-05-29 23:43:46 UTC
LAST UPDATED 2026-05-29 23:43:46 UTC
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