Indiana
Professional Licensing Agency
Internal Medicine, Geriatrics, and Oncology Group, P.C.
Medical Licensing Board - Medical Corporation
License number
50004778A
Date granted
11/14/2005
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
2640 Hamstrom Road, Portage IN 46368
indianalicensing.org
ID 24833069
LAST UPDATED 2024-04-08 02:29:21 UTC
LAST UPDATED 2024-04-08 02:29:21 UTC
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