License holder summary

INDIANA SPINE INSTITUTE PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for INDIANA SPINE INSTITUTE PC is 707 NORTH MICHIGAN STREET SUITE 316, South Bend IN 46601. This licensed professional license is not current. The license was granted 01/18/2002 and expired on 01/31/2004.

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 2026-04-11 10:17:15 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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