Indiana
Professional Licensing Agency
INDIANA SPINE INSTITUTE PC
Medical Licensing Board - Medical Corporation
License number
50004384A
Date granted
01/18/2002
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
707 NORTH MICHIGAN STREET SUITE 316, South Bend IN 46601
indianalicensing.org
ID 24834030
LAST UPDATED 2024-03-07 19:05:21 UTC
LAST UPDATED 2024-03-07 19:05:21 UTC
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