Indiana
Professional Licensing Agency
J EDWIN BOLANDER M D INC
Medical Licensing Board - Medical Corporation
License number
50000388A
Date granted
11/10/1971
Date expires
12/31/1979
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3217 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 24826711
LAST UPDATED 2024-04-22 09:13:22 UTC
LAST UPDATED 2024-04-22 09:13:22 UTC
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