Indiana
Professional Licensing Agency
Indianapolis Plastic Surgeons
Medical Licensing Board - Medical Corporation
License number
50000969A
Date granted
09/11/1975
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
8330 NAAB ROAD #140, INDIANAPOLIS IN 46260
indianalicensing.org
ID 24828716
LAST UPDATED 2026-03-25 03:37:55 UTC
LAST UPDATED 2026-03-25 03:37:55 UTC
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