Indiana
Professional Licensing Agency
INDIANA REGIONAL MEDICAL
Medical Licensing Board - Medical Corporation
License number
50003164A
Date granted
09/28/1989
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
7900 WEST JEFFERSON BLVD #201, FORT WAYNE IN 46804
indianalicensing.org
ID 24826696
LAST UPDATED 2024-03-15 20:43:26 UTC
LAST UPDATED 2024-03-15 20:43:26 UTC
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