Indiana
Professional Licensing Agency
Indiana Sports & Medical Science Institute, PC
Medical Licensing Board - Medical Corporation
License number
50005148A
Date granted
07/05/2011
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
12632 Pennsylvania Place, Crown Point IN 46307
indianalicensing.org
ID 24825188
LAST UPDATED 2024-04-18 17:11:27 UTC
LAST UPDATED 2024-04-18 17:11:27 UTC
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